To provide, to the best of your knowledge, complete information about current medical condition and past medical history, including current illness, prior hospitalizations, current medications, allergies, and all other health-related matters.
To discuss your protocol (study or treatment plan) with the research staff before indicating agreement to take part in it by signing a consent form.
To inform the medical staff about your wishes regarding treatment plans.
You may provide for a duly authorized family member or spokesperson to make medical decisions on your behalf in the event that you are unable to communicate, due to medical reasons.
To comply with our hospital protocol, to co-operate with hospital staff, to ask questions about directions/procedures which aren’t clear, and to participate in your health-care decisions.
You may withdraw from the study for any reason, but it is desirable to discuss your concerns with the attending physician before taking that action.
Parents of pediatric patients have the responsibility to indicate if and how they want to be involved in their child's plan of care. To refrain from taking any medications, drugs, or alcoholic beverages while participating in the protocol, except those approved by a physician.
To adhere to the non-smoking policy.
To report on time for scheduled procedures and to keep all clinic appointments. If unable to do so, you have the responsibility of notifying the protocol physician and cancelling and rescheduling the appointment.
To report promptly to the medical or nursing staff any unexpected problems or changes in your medical condition.
To inform the appropriate staff or the patient representative of any concerns or problems with the care and treatment that you feel are not being adequately addressed.
To respect the privacy of the fellow patients and others.
To follow rules and regulations affecting patient care and treatment.
To respect the rights of other patients and hospital staff.
This includes the responsibility of respecting the privacy of other patients and treating information concerning them as confidential.
To pay all medical or laboratory expenses incurred outside the hospital.
To obtain medical care and medications from your own healthcare provider for all conditions unrelated to the protocol in which you are participating, except while being treated as an inpatient at the Hospital.
To provide your own transportation to and from the Hospital and to pay living expenses.
To provide complete and correct information, so that contacts and communications to schedule visits and monitor health status can be maintained.
This information should include: (1) your current address and phone number: (2) the names, addresses, and phone numbers of next of kin or persons to be notified in the event of emergency: and (3) the names, addresses, and phone numbers of physicians responsible for your ongoing care, including your family physician.
