Patient Rights & Responsibilities

Community Health Center of Fort Dodge (CHCFD) respects each patient and is dedicated to giving the best care possible. Patient Rights and Responsibilities explain what you can expect from us, and in turn, what we expect of you.


As a patient, you have the right to:

  • Take part in your health care and treatment
  • Know the names of the people caring for you
  • Be treated with respect and dignity in a safe and private setting
  • Be informed about your illness and treatment, including options for your care
  • Change medical providers at CHCFD
  • Get another opinion about your illness or treatment
  • Privacy of your health records
  • Talk with the Clinic Manager about any questions or problems with your care
  • Know about services available through CHCFD
  • Respect for your cultural, social, spiritual and personal values and beliefs
  • Know about legal reporting requirements
  • Ask for special arrangements if you have a disability
  • Ask for help with a living will or durable power of attorney for health care
  • Refuse treatment, care, and services as allowed by law
  • Know the cost of your care and ways you may pay for your care
  • Refuse to be included in any research program without limiting medical care or treatment


As a patient, you have the responsibility to:

  • Tell your medical provider about your illness or problems
  • Ask questions about your illness or care
  • Show respect to both care givers and other patients
  • Cancel or reschedule appointments so that another person may have that time slot
  • Pay your sliding fee at time of service
  • Pay your insurance co-pay at time of service and all other charges by the due date
  • Use medications or medical devices for yourself only
  • Inform the medical provider if symptoms persist or worsen or you have an unexpected reaction to a medication
  • Give written permission to release your medical records to CHCFD
  • Provide CHCFD a copy of your living will or durable power of attorney for healthcare matters
Patient Rights and Responsibilities

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Community Health Center of Fort Dodge, 126 N 10th Street, Fort Dodge, IA 50501
Medical: 515-576-6500; Dental: 515-571-8667