Patient Rights and Responsibilities

All departments within WhidbeyHealth must comply with Washington State Law to respect every patient and maintain an ethical relationship with the public.

Ensure all patients are notified of their rights and responsibilities as a patient as defined in WAC 246-320-141.

Document referred to as “Patient Rights and Responsibilities” is the WhidbeyHealth System form #001421.

WhidbeyHealth patients have many rights to ensure they receive the best care possible in a safe setting.
Patients also have responsibilities that help both the patient and caregivers make informed decisions
about the patient’s treatment while in our care. Each patient has the right to personal privacy and rights
to complete information about your medical bill.

Every patient who receives services from WhidbeyHealth will receive a written document informing them
of their Rights and Responsibilities. For those patients with series visits the Patient Rights and
Responsibilities should be presented to the patient at the first encounter.

The patient Rights and Responsibilities are found on the WhidbeyHealth website and will be updated to
remain current.

For Complaints or Feedback, Patients May Contact:
WhidbeyHealth Quality Department
(360) 678-5151, Patient Experience Coordinator
101 N. Main St., Coupeville, WA 98239
myhospital@whidbeyhealth.org

Additional Contact:
Washington Department of Health
360-236-4700 / 800-633-6828
HSQA Complaint Intake
PO Box 47857, Olympia, WA 98045-7857
complaintintake@doh.wa.gov

Additional Contact:
DNV Healthcare USA Inc
ATTN: DNV Healthcare Complaints
1400 Ravello Dr., Katy, TX 77449
Voice Mail: 866.496.9647 Fax: 281.870.4818
Email: Hospitalcomplaint@dnv.com
Online complaint form

• Patient Nondiscrimination Policy
• Visitor Policy

• DNV NIAHO Accreditation Requirements, Interpretive Guidelines and Surveyor Guidance for
  Critical Access Hospitals
• Washington State Department of Health www.doh.wa.gov
• CMS Medicare Conditions of Participation
• WAC 246-320-141