If you or a loved one needs an in-person interpreter for a language other than Spanish, please let us know at least three business days before an appointment so we can make the necessary arrangements.

English: Call 1-484-628-8005. (TTY: 1-800-654-5984)

Español (Spanish): ATENCIÓN: si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística.Llame al 1-484-628-8005. (TTY: 1-800-654-5984. Spanish TTY: 1-844-308-9291)

繁體中文 (Chinese): 注意：如果您使用繁體中文，您可以免費獲得語言援助服務。請致電 484-628-8005.。 (TTY: 1-800-654-5984)

Tiếng Việt (Vietnamese) CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-484-628-8005. (TTY: 1-800-654-5984)

Русский (Russian) ВНИМАНИЕ: Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-484-628-8005. (TTY: 1-800-654-5984)

Deitsch (Pennsylvania Dutch): Wann du [Deitsch (Pennsylvania German / Dutch)] schwetzscht, kannscht du mitaus Koschte ebber gricke, ass dihr helft mit die englisch Schprooch. Ruf selli Nummer uff: Call 1-484-628-8005. (TTY: 1-800-654-5984)

한국어 (Korean): 주의: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-484-628-8005 번으로 전화해 주십시오. (TTY: 1-800-654-5984)

Italiano (Italian): ATTENZIONE: In caso la lingua parlata sia l’italiano, sono disponibili servizi di assistenza linguistica gratuiti. Chiamare il numero 1-484-628-8005. (TTY: 1-800-654-5984)

ةيبرعلا (Arabic): 1 ( مقر -484-628- 1 مقرب لصتا .ناجملاب كل رفاوتت ةیوغللا ةدعاسملا تامدخ نإف ،ةغللا ركذا ثدحتت تنك اذإ :ةظوحلم - 8005 .(1-484-628- مكبلاو مصلا فتاھ - 8005 : (TTY: 1-800-654-5984)

Français (French): ATTENTION: Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez le 1-484-628-8005. (TTY: 1-800-654-5984)

Deutsch (German): ACHTUNG: Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-484-628-8005. (TTY: 1-800-654-5984)

ગુજરાતી(Gujarati): 􀉅ચુના: જો તમે 􀉅જરાતી બો લતા હો , તો િન:􀉅લ્કુ ભાષા સહાય સે વાઓ તમારા માટ􀉅 ઉપલબ્ધ છ. ફો ન કરો 1-484-628-8005. (TTY: 1-800-654-5984)

Polski (Polish): UWAGA: Jeżeli mówisz po polsku, możesz skorzystać z bezpłatnej pomocy językowej. Zadzwoń pod numer 1-484-628-8005. (TTY: 1-800-654-5984)

Kreyòl Ayisyen (French Creole): ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-484-628-8005. (TTY: 1-800-654-5984)

ខ្មែរ (Cambodian): ្របយ័ត ៖ េបើសិន អ កនិ យ  ែខ រ, េស ជំនួយែផ ក  េ យមិនគិតឈ ល គឺ ច នសំ ប់បំេរ អ ក។ ចូរ ទូរស័ព 1-484-628-8005. (TTY: 1-800-654-5984)

Português (Portuguese): ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para 1-484-628-8005. (TTY: 1-800-654-5984) Si desea una copia de la información mencionada arriba en español, llame al 484-628-8005.

• You, or your representative when appropriate, have the right to be informed of all your rights at the earliest possible moment in the course of your hospital stay.
• You have the right to receive respectful healthcare from competent professionals without unnecessary delay, no matter your race, ethnicity, national origin, culture, language, age, creed, physical or mental disability, sex, sexual orientation, personal values, beliefs, preferences, gender identity or expression, socioeconomic status, or source of payment.
• You have the right to receive complete information about your illness and treatment in words you can understand so that you can be involved in your care planning and treatment. Your entire healthcare team is committed to giving you information and answering your questions. When not medically advisable to communicate this information to you, this information will be provided on your behalf to your next of kin or other appropriate person.
• You have the right to know the names of all the people taking care of you and their functions.
• You have the right to have a family member, friend, or support person notified promptly about your admission to the hospital.
• You have the right to have your personal doctor notified promptly about your admission, and be kept up-to-date about your illness and treatment.
• You have the right to be told by your doctor of any test, procedure, or treatment that has risks, and to give informed consent for this test, procedure, or treatment to be done. In emergencies, or if you are too ill or otherwise cannot understand this information, you have the right to have your family member, friend or other support person told.
• You have the right to say “no” to any treatment and to leave the hospital at any time. You have the right to hear from your doctor what may happen if you refuse the treatment or leave. There may be times that care must be provided based on the law.
• You have the right to make choices now and to document those choices in case you become too ill to speak for yourself later. This right to choose is called an Advance Directive. You may choose someone to make healthcare decisions for you. You may also choose what treatments you would like or not like to have done.
• You have the right to be told by your doctor about any research or donor program that may be helpful to you.
• You have the right to have all of your questions answered, and then to give informed consent if you wish to become part of the research or donor program. You also have the right to refuse to continue in such a program at any time. If you are too ill or otherwise unable to understand this information, a legally responsible party will receive the information, provide consent, and/or discontinue your participation in the research or donor program.
• You have the right to see all information in your medical record within a reasonable time of your request. If your doctor feels you should not see this information for medical reasons, you have the right to have someone else review your record.
• You have the right to keep your medical record and other healthcare information confidential. You need to know that we are required by law to share some types of information. We also need to provide information to your benefits plan in order for your care to be covered.
• You have the right to be informed about continuing healthcare needs to be addressed following your discharge, as well as about recommended methods for addressing those needs.
• You have the right to personal privacy.
• You have the right to visitation from family members, friends, or other support persons.
• You have the right to restrict or limit your visitors. Visitation may be restricted or limited when visitors would interfere with your care or the care of other patients.
• You have the right to receive care in a safe setting and to be free from all forms of abuse, harassment, neglect, or mistreatment.
• You have the right to be free from restraints or seclusion of any form imposed as a means of coercion, discipline, convenience, or retaliation by staff.
• You have the right to get information about the pain you may experience and ways to prevent or reduce your pain. You also have the right to prompt response when you tell us about pain you are having.
• You have the right to have interpreting services, provided at no charge, if you do not speak English.
• You have the right to have a sign language interpreter or other devices to assist you and ensure effective communication, provided at no charge, if you are deaf or hard-of-hearing.
• You have the right to full information about your hospital bill if you request it.
• You have the right to full information and counseling on the availability of known financial resources for your healthcare.
• You have the right to know what hospital rules and regulations apply to your conduct as a patient.
• You have the right to expect emergency procedures to be implemented without unnecessary delay.
• You have the right to assistance in obtaining consultation with another physician at your request and your expense.
• You have the right to expect good management techniques at the hospital to use your time effectively and avoid personal discomfort.
• You have the right to good quality care and high professional standards that are continually maintained and reviewed.
• You, when medically permissible, have the right to be transferred to another facility only after you or your representative have received complete information concerning the need for and alternatives to such a transfer. The institution to which you would be transferring must first accept you for transfer.
• You have the right to access an individual or agency authorized to act on your behalf to assert or protect your rights as set forth in this document.
• You have the right to be informed about unanticipated outcomes of care, treatment, and services.
• You have the right to access and receive an accounting of disclosures regarding your own health information as permitted by law.

• You have the right to share your concerns about the care or services you are receiving. If you have a problem or complaint, you may talk with your doctor, nurse, or any member of your healthcare team. You may also call the Patient Advocate at 215-248-8213 or email [email protected].
• You have the right to contact the:
  Pennsylvania Department of Health
  Room 532 Health & Welfare Building
  625 Forster Street, Harrisburg, PA 17120
  Phone: 800-254-5164
• You have the right to contact hospital management if a concern you have about patient care or safety has not been addressed. If your concern cannot be resolved through the hospital, you may also contact:

The Joint Commission
Office of Quality and Patient Safety
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181
Fax: 630-792-5636

Chestnut Hill Hospital accepts these responsibilities as part of our mission to provide you with the healthcare services you need.

• We will provide the best healthcare possible in a safe, clean, quiet, and pleasant environment.
• We will provide education to help patients and their families understand the illness, what they can do about it, and, when possible, how to stay healthy after recovery.
• We will provide you with options for treatment that may be needed at another facility, as an outpatient, or at home.
• We will provide mental health, spiritual, and social services if requested by you or your doctor.
• We will provide a Patient Advocate to receive suggestions on how we can improve our services.
• We will provide you with a Patient Information booklet to help you and your family learn what to expect during your hospital experience.

You have the right to contact hospital management if a concern you have about patient care or safety has not been addressed.

• Please keep your appointments with us.
• Please play an active role in your care.
• Please be open and honest with us about the health and pain management information we give you. Let us know immediately if you do not understand it, or if you feel that you cannot follow the instructions we give you.
• Please tell your doctor and healthcare team about any changes in your health, including any pain you may be experiencing.
• Please be considerate of our other patients by following our guidelines on the number of visitors, visiting hours, noise level, and tobacco-free environment.
• Please be sure that your visitors are considerate also.
• Please help us protect confidentiality and personal privacy – yours and that of our other patients.
• Please provide the benefits plan information necessary to process your hospital bill.
• Please pay your part of the hospital bill as soon as possible. If you think you will have problems with your bill, please let us know.
• Please report any concerns you may have regarding your safety to any member of your healthcare team, the Patient Advocate at 215-248-8213 or [email protected], or to hospital management. If your concern cannot be resolved by the hospital, please contact:

The Joint Commission
Fax: 630-792-5636
Mail: Office of Quality and Patient Safety
The Joint Commission
One Renaissance Boulevard
Oakbrook Terrace, IL 60181