Patient Rights  

When your child becomes our patient, you become a partner in their healthcare plan. As our partner, you have certain rights and responsibilities. We respect your rights, and we want to make sure you have all the tools you need to communicate your wishes openly and effectively.  

This section provides a full explanation of your rights on the following: 

Patient Rights 

Florida law  

(F.S. 381.026) requires that your health care provider or health care facility recognize your rights while you are receiving medical care and that you respect the health care provider or health care facility’s right to expect certain behavior on the part of patients. You may request a copy of the full text of this law from your health care provider or health care facility. A summary of your rights and responsibilities follows: 


  • Be treated with courtesy and respect, with appreciation of your individual dignity and with protection of your need for privacy 

  • Prompt and reasonable response to questions and requests 

  • Know the identity and professional status of the individuals providing your medical services and care 

  • Know what patient support services are available, including whether an interpreter is available if you do not speak English or experience hearing difficulties 

  • Know what rules and regulations apply to your conduct as a patient 

  • Care that includes consideration of the psychosocial, spiritual and cultural variable that may influence your illness 

  • Be provided with information about advance directives, living wills, or durable powers of attorney for health care decision making as well as other health care decision making options 

  • Be given information by your health care provider about diagnosis, planned course of treatment, alternatives, risks, benefits and prognosis to enable you to make treatment decisions 

  • Accept or refuse medical care or treatment, except as otherwise provided by law  

  • To be informed of the medical consequences of such refusal; if you refuse the hospital may end its relationship with you after reasonable notice 

  • Be given, upon request, full in formation and necessary counseling on the availability of known financial resources for your care  

  • Know, upon request, and in advance of treatment, whether or not your health care provider or health care facility accepts Medicare assignment and the Medicare rate if you are eligible for Medicare 

  • Receive, upon request, and prior to treatment, an estimate of charges of medical care. Such estimates shall not preclude the health care or health care facility from exceeding the estimate or assessing additional charges based upon changes in your condition or additional services that may be needed or necessary 

  • Receive a copy of a reasonably clear and understandable itemized bill and, upon request, to have charges explained 

  • Impartial access to medical treatment or accommodations regardless of race, gender, national or ethnic origin, religion, sexual orientation, physical or mental impairment or source of payment 

  • Treatment for any emergency medical condition that will deteriorate from failure to provide treatment  

  • Know if medical treatment is for purposes of experimental research and to give your consent or refusal to participate in such experimental research 

  • Express grievances regarding any violation of your rights, as stated in Florida law, through the grievance procedure of your health care provider or healthcare facility which served you and to the appropriate state licensing agency 

  • Contact Guest Management if you wish to express a concern/ grievance or should you have any questions about how to file a complaint to management. Your right to register a complaint will not result in any type of retribution now or in the future 

  • Appropriate assessment and management of pain 

  • Expect reasonable safety with regard to Tenet Healthcare practices and its environment 

  • Report or any accurse or suspected abuse or neglect to administration and expect to receive a quick and reasonable response 

  • An organizational system for the consideration of ethical issues concerning your care and to be included in the ethical decisions regarding your care 

Children and adolescents may not be at a developmental stage to make appropriate decisions regarding their medical care. Therefore, in addition to the rights set forth above, the child has the right to: 

  • Set aside time each day to play based on their medical condition and developmental stage 

  • A room and playroom as their “safe, non-threatening” environment 

  • Take a favorite toy with them to any treatment or procedure 

  • Visits by brothers, sisters and friends during certain times of the day and have a parent or guardian with them at all times 

  • An age-appropriate level of explanation for procedures and treatments done by staff 

  • Have procedures and treatments explained to their parents/guardians prior to provision of those procedures and treatments 

  • Access to educational services when treatment necessitates a significant absence from school  


  • Providing your health care provider, to the best of your knowledge, accurate and complete information about present complaints, past illnesses, hospitalizations, medications and other matters relating to your health 

  • Reporting unexpected changes in your health conditions to your health care provider  

  • Reporting to your health care provider, whether or not you understand a possible planned course of action and what is expected of you 

  • Gaining an understanding of your illness, recommended treatments and for cooperating with your treatment plan as recommended by your health care provider 

  • Keeping appointments and, when you are unable to do so for any reason, notifying your health care provider of health care facility 

  • Your actions and the resultant consequences if you refuse treatment or do not follow your health provider’s instructions 

  • Assuring that your financial obligations of your health care are fulfilled as 

  • promptly as possible 

  • Helping to facilitate the safe delivery of care by reporting any perceived risks in your care 

  • Following health care facility rules and regulations pertaining to patient care and conduct designed for your safety and the consideration of others 


  • Each patient (or his/her Support Person) will be informed in writing of their visitation rights including: 

  • Patient’s right to receive the visitors whom he/she designates, including, but not limited to, a spouse, domestic partner (including same sex domestic partner), another family member, or a friend 

  • Patient’s right to withdraw or deny such consent at any time 

  • Justified Clinical Restrictions which may be imposed on a patient’s visitation rights 

  • All visitors designated by the patient (or Support Person when appropriate) shall enjoy full and equal visitation privileges consistent with patient preferences. St. Mary’s Medical Center does not restrict, limit, or otherwise deny visitation privileges on the basis of age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation and gender identity or expression.  


Means any clinically necessary or reasonable restriction or limitation imposed by the Hospital on a patient’s visitation rights which restriction or limitation is  necessary to provide safe care to patients. A Justified Clinical Restriction may include, but need not be limited to one or more of the following: 

A court order limiting or restraining contact; Behavior presenting a direct risk or threat to the patient, hospital staff or others in the immediate environment; Behavior disruptive to the functioning of the patient care unit; Reasonable limitations on the number of visitors at any one time; Patient’s risk of infection by the visitor;  Visitor’s risk of infection by the patient; Extraordinary protections because of a pandemic or infectious disease outbreak; Substance abuse treatment protocols requiring restricted visitation; Patient’s need for privacy or rest; Need for privacy or rest by another individual in the patient’s shared room or when patient is undergoing a clinical intervention or procedure and the treating health care provider believes it is in the patient’s best interest to limit visitation during the clinical intervention or procedure. 

The Guest Relations Department is responsible for pursuing and or referring any questions, concerns, complaints or grievances you may have about your rights or  the quality or care and services provided by St. Mary’s Medical Center and the Palm Beach Children’s Hospital. You may contact the Guest Relations staff directly at  ext. 24646, or ask any staff member to contact them on your behalf. If this is an emergency, please call the hospital operator (dial 0) and ask them to page the Nursing Supervisor. We will gladly address any issues or concerns you may have about your or your child’s care. 

Should you have any questions or complaints regarding the quality of care offered by your health care providers or health care facility, you may contact the following: 


Agency for Health Care Administration (AHCA) 
Consumer Assistance Unit 
2727 Mahan Drive 
Tallahassee, FL 32308 
Toll Free: 1-888-419-3456  

The Joint Commission   
One Renaissance Boulevard 
Oak Brook, Illinois 60181 
Toll Free: 1-800-994-6610 
Fax: 630-792-5636 

Privacy Policy  


Who Presents this Notice  

This Notice describes the privacy practices of St. Mary’s Medical Center (the “Hospital”) and members of its workforce, as well as the physician members of the medical staff and allied health professionals who practice at the Hospital. The Hospital and the individual health care providers together are sometimes called "the Hospital and Health Professionals" in this Notice. While the Hospital and Health Professionals engage in many joint activities and provide services in a clinically integrated care setting, the Hospital and Health Professionals each are separate legal entities. This notice applies to services furnished to you at the hospital and all off-campus outpatient departments as an inpatient or outpatient in a hospital-affiliated program involving the use or disclosure of your health information, Palm Beach Children’s Hospital, The Institute for Mental Health, Kaplan Cancer Center, St. Mary’s Imaging Center, Kimmel Outpatient Surgery Center, , Diabetes Education, Regional Perinatal Intensive Care Center (RPICC), The Rehabilitation Institute, Schwartz Dialysis, , Wound Care Center, Memory Disorder or Cystic Fibrosis Center, as a hospital inpatient or outpatient or any other services provided to you in a hospital-affiliated program involving the use or disclosure of your health information. 

Privacy Obligations 

The Hospital and Health Professionals each are required by law to maintain the privacy of your health information ("Protected Health Information" or "PHI") and to provide you with this Notice of legal duties and privacy practices with respect to your Protected Health Information. The Hospital and Health Professionals use computerized systems that may subject your Protected Health Information to electronic disclosure for purposes of treatment, payment and/or health care operations as described below. When the Hospital and Health Professionals use or disclose your Protected Health Information, the Hospital and Health Professionals are required to abide by the terms of this Notice (or other notice in effect at the time of the use or disclosure).  

Permissible Uses and Disclosures Without Your Written Authorization 

In certain situations your written authorization must be obtained in order to use and/or disclose your PHI. However, the Hospital and Health Professionals do not need any type of authorization from you for the following uses and disclosures:  

Uses and Disclosures for Treatment, Payment and Health Care Operations. Your PHI may be used and disclosed to treat you, obtain payment for services provided to you and conduct “health care operations” as detailed below:  

  • Treatment. Your PHI may be used and disclosed to provide treatment and other services to you--for example, to diagnose and treat your injury or illness. In addition, you may be contacted to provide you appointment reminders or information about treatment alternatives or other health-related benefits and services that may be of interest to you. Your PHI may also be disclosed to other providers involved in your treatment. For example, a doctor treating you for a broken leg may need to know if you have diabetes because if you do, this may impact your recovery. 

  • Payment. Your PHI may be used and disclosed to obtain payment for services provided to you--for example, disclosures to claim and obtain payment from your health insurer, HMO, or other company that arranges or pays the cost of some or all of your health care (“Your Payor”) to verify that Your Payor will pay for health care. The physician who reads your x-ray may need to bill you or your Payor for reading of your x-ray therefore your billing information may be shared with the physician who read your x-ray. 

  • Health Care Operations. Your PHI may be used and disclosed for health care operations, which include internal administration and planning and various activities that improve the quality and cost effectiveness of the care delivered to you. For example, PHI may be used to evaluate the quality and competence of physicians, nurses and other health care workers. PHI may be disclosed to the Hospital Compliance & Privacy Office in order to resolve any complaints you may have and ensure that you have a comfortable visit. Your PHI may be provided to various governmental or accreditation entities such as the Joint Commission on Accreditation of Healthcare Organizations to maintain our license and accreditation. In addition, PHI may be shared with business associates who perform treatment, payment and health care operations services on behalf of the Hospital and Health Professionals. 

Use or Disclosure for Directory of Individuals in the Hospital. Hospital may include your name, location in the Hospital, general health condition and religious affiliation in a patient directory without obtaining your authorization unless you object to inclusion in the directory. Information in the directory may be disclosed to anyone who asks for you by name. Your religious affiliation may be given to a member of the clergy, such as a priest or minister, even if they do not ask for you by name. If you do not wish to be included in the facility directory, you will be given an opportunity to object at the time of admission. 

Disclosure to Relatives, Close Friends and Other Caregivers. Your PHI may be disclosed to a family member, other relative, a close personal friend or any other person identified by you who is involved in your health care or helps pay for your care. If you are not present, or the opportunity to agree or object to a use or disclosure cannot practicably be provided because of your incapacity or an emergency circumstance, the Hospital and/or Health Professionals may exercise professional judgment to determine whether a disclosure is in your best interests. If information is disclosed to a family member, other relative or a close personal friend, the Hospital and/or Health Professionals would disclose only information believed to be directly relevant to the person’s involvement with your health care or payment related to your health care. Your PHI also may be disclosed in order to notify (or assist in notifying) such persons of your location or general condition. 

Public Health Activities. Your PHI may be disclosed for the following public health activities: (1) to report health information to public health authorities for the purpose of preventing or controlling disease, injury or disability; (2) to report child abuse and neglect to public health authorities or other government authorities authorized by law to receive such reports; (3) to report information about products and services under the jurisdiction of the U.S. Food and Drug Administration; (4) to alert a person who may have been exposed to a communicable disease or may otherwise be at risk of contracting or spreading a disease or condition; and (5) to report information to your employer as required under laws addressing work-related illnesses and injuries or workplace medical surveillance. 

Victims of Abuse, Neglect or Domestic Violence. Your PHI may be disclosed to a governmental authority, including a social service or protective services agency, authorized by law to receive reports of such abuse, neglect, or domestic violence if there is a reasonable belief that you are a victim of abuse, neglect or domestic violence.  

Health Oversight Activities. Your PHI may be disclosed to a health oversight agency that oversees the health care system and is charged with responsibility for ensuring compliance with the rules of government health programs such as Medicare or Medicaid.  

Judicial and Administrative Proceedings. Your PHI may be disclosed in the course of a judicial or administrative proceeding in response to a legal order or other lawful process. 

Law Enforcement Officials. Your PHI may be disclosed to the police or other law enforcement officials as required or permitted by law or in compliance with a court order or a grand jury or administrative subpoena. For example, your PHI may be disclosed to identify or locate a suspect, fugitive, material witness, or missing person or to report a crime or criminal conduct at the facility.  

Correctional Institution. You PHI may be disclosed to a correctional institution if you are an inmate in a correctional institution and if the correctional institution or law enforcement authority makes certain requests to us. 

Business Associates. Your PHI may be disclosed to business associates or third parties that the Hospital and Health Professionals have contracted with to perform agreed upon services. 

Decedents. Your PHI may be disclosed to a coroner or medical examiner as authorized by law.  

Organ and Tissue Procurement. Your PHI may be disclosed to organizations that facilitate organ, eye or tissue procurement, banking or transplantation.  

Research. Your PHI may be used or disclosed without your consent or authorization if an Institutional Review Board approves a waiver of authorization for disclosure.  

Health or Safety. Your PHI may be used or disclosed to prevent or lessen a serious and imminent threat to a person’s or the public’s health or safety.  

Specialized Government Functions. Your PHI may be disclosed to units of the government with special functions, such as the U.S. military, the U.S. Department of State under certain circumstances such as the Secret Service or NSA to protect, for example, the country or the President.  

Workers’ Compensation. Your PHI may be disclosed as authorized by and to the extent necessary to comply with state law relating to workers' compensation or other similar programs.  

As Required by Law. Your PHI may be used and disclosed when required to do so by any other law not already referred to in the preceding categories; such as required by the FDA, to monitor the safety of a medical device. 

Appointment Reminders. Your PHI may be used to tell or remind you about appointments. 

Fundraising. Your PHI may be used to contact you as a part of fundraising efforts, unless you elect not to receive this type of information. 


Use or Disclosure with Your Authorization. For any purpose other than the ones described above, your PHI may be used or disclosed only when you provide your written authorization on an authorization form (“Your Authorization”). For instance, you will need to execute an authorization form before your PHI can be sent to your life insurance company or to the attorney representing the other party in litigation in which you are involved.  

Marketing. Your written authorization (“Your Marketing Authorization”) also must be obtained prior to using your PHI to send you any marketing materials. (However, marketing materials can be provided to you in a face-to-face encounter without obtaining Your Marketing Authorization. The Hospital and/or Health Professionals are also permitted to give you a promotional gift of nominal value, if they so choose, without obtaining Your Marketing Authorization). The Hospital and/or Health Professionals may communicate with you in a face-to-face encounter about products or services relating to your treatment, case management or care coordination, or alternative treatments, therapies, providers or care settings without Your Marketing Authorization.  

In addition, the Hospital and/or Health Professionals may send you treatment communications, unless you elect not to receive this type of communication, for which the Hospital and/or Health Professionals may receive financial remuneration.  

Sale of PHI. The Hospital and Health Professionals will not disclose your PHI without your authorization in exchange for direct or indirect payment except in limited circumstances permitted by law. These circumstances include public health activities; research; treatment of the individual; sale, transfer, merger or consolidation of the Hospital; services provided by a business associate, pursuant to a business associate agreement; providing an individual with a copy of their PHI; and other purposes deemed necessary and appropriate by the U.S. Department of Health and Human Services (HHS). 

Uses and Disclosures of Your Highly Confidential Information. In addition, federal and state law require special privacy protections for certain highly confidential information about you (“Highly Confidential Information”), including the subset of your PHI that: (1) is maintained in psychotherapy notes; (2) is about mental illness, mental retardation and developmental disabilities; (3) is about alcohol or drug abuse or addiction; (4) is about HIV/AIDS testing, diagnosis or treatment; (5) is about communicable disease(s), including venereal disease(s); (6) is about genetic testing; (7) is about child abuse and neglect; (8) is about domestic abuse of an adult; or (9) is about sexual assault. In order for your Highly Confidential Information to be disclosed for a purpose other than those permitted by law, your written authorization is required.  


Right to Request Additional Restrictions. You may request restrictions on the use and disclosure of your PHI (1) for treatment, payment and health care operations, (2) to individuals (such as a family member, other relative, close personal friend or any other person identified by you) involved with your care or with payment related to your care, or (3) to notify or assist in the notification of such individuals regarding your location and general condition. While all requests for additional restrictions will be carefully considered, the Hospital and Health Professionals are not required to agree to these requested restrictions.  

You may also request to restrict disclosures of your PHI to your health plan for payment and healthcare operations purposes (and not for treatment) if the disclosure pertains to a healthcare item or service for which you paid out-of-pocket in full. The Hospital and Health Professionals must agree to abide by the restriction to your health plan EXCEPT when the disclosure is required by law. 

If you wish to request additional restrictions, please obtain a request form from the Health Information Management Office and submit the completed form to the Health Information Management Office. A written response will be sent to you.  

Right to Receive Confidential Communications. You may request, and the Hospital and Health Professionals will accommodate, any reasonable written request for you to receive your PHI by alternative means of communication or at alternative locations. 

Right to Revoke Your Authorization. You may revoke Your Authorization, Your Marketing Authorization or any written authorization obtained in connection with your PHI, except to the extent that the Hospital and/or Health Professionals have taken action in reliance upon it, by delivering a written revocation statement to the Hospital Health Information Management Office identified below. 

Right to Inspect and Copy Your Health Information. You may request access to your medical record file and billing records maintained by the Hospital and Health Professionals in order to inspect and request copies of the records. Under limited circumstances, you may be denied access to a portion of your records. If you desire access to your records, please obtain a record request form from the Hospital Health Information Management Office and submit the completed form to the Hospital Medical Records or Health Information Management Office. If you request copies of paper records, you will be charged in accordance with federal and state law. To the extent the request for records includes portions of records which are not in paper form (e.g., x-ray films), you will be charge the reasonable cost of the copies. You also will be charged for the postage costs, if you request that the copies be mailed to you. However, you will not be charged for copies that are requested in order to make or complete an application for a federal or state disability benefits program. 

Right to Amend Your Records. You have the right to request that PHI maintained in your medical record file or billing records be amended. If you desire to amend your records, please obtain an amendment request form from the Hospital Health Information Management Office and submit the completed form to the Hospital Health Information Management Office. Your request will be accommodated unless the Hospital and/or Health Professionals believe that the information that would be amended is accurate and complete or other special circumstances apply. 

Right to Receive an Accounting of Disclosures. Upon request, you may obtain an accounting of certain disclosures of your PHI made during any period of time prior to the date of your request provided such period does not exceed six years and does not apply to disclosures that occurred prior to April 14, 2003. If you request an accounting more than once during a twelve (12) month period, you will be charged for the accounting statement. 

Right to Receive Paper Copy of this Notice. Upon request, you may obtain a paper copy of this Notice, even if you have agreed to receive such notice electronically. 

For Further Information or Complaints. If you desire further information about your privacy rights, are concerned that your privacy rights have been violated or disagree with a decision made about access to your PHI, you may contact the Hospital Compliance & Privacy Office. You may also file written complaints with the Director, Office for Civil Rights of the U.S. Department of Health and Human Services. Upon request, the Hospital Compliance & Privacy Office will provide you with the correct address for the Director. The Hospital and Health Professionals will not retaliate against you if you file a complaint with the Hospital Privacy Office or the Director.  

Effective Date and Duration of This Notice 

Effective Date. This Notice is effective on September 23, 2013

Right to Change Terms of this Notice. The terms of this Notice may be changed at any time. If this Notice is changed, the new notice terms may be made effective for all PHI that the Hospital and Health Professionals maintain, including any information created or received prior to issuing the new notice. If this Notice is changed, the new notice will be posted in waiting areas around the Hospital and on our Internet site at You also may obtain any new notice by contacting the Hospital Compliance & Privacy Office. 


You may contact the Hospital Compliance & Privacy Office at: 

Compliance & Privacy Office 
St. Mary’s Medical Center  
901 45th Street  
West Palm Beach, Florida 33407
Telephone Number: (561) 882-6314 


Corporate Compliance & Privacy Office
Tenet Healthcare 
1445 Ross Avenue, Suite 1400 
Dallas, Texas 75202 
Telephone Number: 1-877-893-8363 ext. 2009 
Ethics Action Line (EAL): 1-800-8-ETHICS 

You may contact the Health Information Management Office at: 

Health Information Management Office 
St. Mary’s Medical Center  
901 45th Street  
West Palm Beach, Florida 33407 
Telephone Number: (561) 882-6314 
Telephone Number: (561) 882-6322  

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