PATIENTS FEE

Payson Christian Clinic welcomes a donation of $20 for your office visit and basic lab orders, with an additional suggested donation of $5 for any family members also being seen. However, these donations are not required and you will be seen regardless of a donation. Immediate family members are defined as mother, father, child under 18 years of age living with their parent or guardian, or a guardian of a parent or adult child living in the same household. Upon request the Clinic may be able to offer emergency funds for critical food or medicine expenses for a patient or their family.  

ADMISSION AND DISCHARGE

Appointment can be scheduled by calling the clinic during our scheduling hours. Patients may be seen the same-day for treatment of non-emergency health problems if an appointment is available – please call to inquire.

Patients experiencing medical problems beyond the scope of care of the clinic will be referred to appropriate levels of care. Patients experiencing life-threatening emergencies will be transferred to an available Emergency Room by contacting 911.

PATIENT RIGHTS & RESPONSIBILITIES

As a patient of the Payson Christian Clinic, you have the following rights:

• You are to be treated respectfully, with consideration and dignity.
• You shall NOT be:
  • Treated with abuse, neglect, exploitation, coercion, manipulation, sexual abuse, sexual assault.
  • Subject to restraint or seclusion (except… see section R9-10-1012(B).
  • Subject to retaliation for submitting a complaint to the DHS or another entity.
  • Subject to misappropriation of personal and private property by any member of our staff.
  • Discriminated against based on race, national origin, religion, gender, sexual orientation, age, disability, marital status or diagnosis.
• You may provide written consent to the release of information for your medical or financial records to another individual.
• You have the right to:
  • Consent or refuse treatment (except in an emergency);
  • Refuse or withdraw consent for treatment before the treatment is initiated;
  • Review Payson Christian Clinic policy on health care directives;
  • Review Payson Christian Clinic policy on the patient complaint process (see Grievances);
  • Consent or refuse being photographed;
  • Receive treatment that supports and respects your individuality, choices, strengths, and abilities;
  • Receive privacy in treatment and care for personal needs;
  • Review, upon written request, the patient’s own medical record according to DHS requirements;
  • Receive a referral to another health care institution if Payson Christian Clinic is not able to provide or treat you;
  • Participate in the development of, or decisions concerning your treatment; and
  • Receive assistance from a family member, patient representative or other individual in understanding, protecting or exercising your patient rights.

As a patient of the Payson Christian Clinic, you have the following responsibilities:

• The patient shall provide Payson Christian Clinic with accurate and complete information about present complaints, past illness, hospitalizations, medications and other matters relating to your health.
• The patient is responsible for following the treatment plan recommended by the practitioner responsible for your care.
• The patient is responsible for their own actions and if they refuse treatment or do not follow the practitioner instructions.
• The patient is responsible for keeping their appointment or cancelling well in advance.

If you have a comment or complaint, please contact the PCC Director:  Kashmere Fitch at 928-468-2209

If you are still dissatisfied, you may contact the Arizona Department of Health at:

AZ Dept. of Health, 602-364-3030, 150 N. 18^th Ave., Suite 450, Phoenix, AZ 85007-3242

Download Section : PCC related forms and documents (pdfs)