Guaranteeing Your Rights

Advance Medical Directives are legal documents that allow you to give directions about your future medical care, in the event you become unable to communicate your wishes.

Notice of Privacy Practices

This notice describes how your medical information may be used and disclosed, and how you can get access to this information. Please review it carefully.

download Consent to Treat a Minor

Make sure the adult caring for your child has written permission to seek medical care for your child in your absence.

download Affidavit in Support of Medical Records Request

If you'd like a copy of the medical records of a deceased patient, please complete a form and have it notarized.

Release of Patient Information

The federal government established the HIPAA privacy rule in 2000, setting standards for the privacy of individually identified health information. Learn more, and how to access your medical records.

What Every CoxHealth Patient Needs to Know

CoxHealth does not discriminate against any person on the basis of race, color, national origin, disability or age in admission, treatment or participation in its programs, services, activities or employment. Emergency services will not be denied to those who need them but cannot pay for them.

For further information about this policy, contact Vice President of Corporate Integrity Betty Breshears.

It is the policy of CoxHealth to inform patients of their rights while a patient. The objective of the standard is to ensure protection of each patient's physical and emotional health and safety. By informing patients of their rights we believe they will participate more effectively in treatment decisions which may enhance the outcome of their treatment. The patient's care includes consideration of the patient as an individual with personal and cultural values and belief systems. All hospital employees will respect these beliefs and values. If the patient is a neonate, child or adolescent, the patient's family and/or guardian will be involved in the decision making throughout the course of treatment.

The following serves as the basic statement regarding patient rights which addresses each patient's right to notification of his or her rights in regard to his or her care; privacy and safety; confidentiality of his or her records; freedom from restraints from seclusion and restraints used in behavioral management unless clinically necessary. This has been approved by the Medical Staff and Board of Directors. In addition to this basic statement several specialty areas have patient rights statements including but not limited to obstetrics, pediatrics and geriatrics.

When the words "patient" or "you/your" are used, they are also intended to designate the patient's legally authorized representative.

Patients’ Bill of Rights

Patients have the right to:

1. Receive treatment regardless of race, religion, disability, age, sex, sexual orientation, gender identity, or national origin. 

2. Be treated with respect and dignity. Patients will be cared for in an environment that preserves dignity and contributes to a positive self-image. 

3. Be involved in their care decisions. Patients have the right to their choice of health care providers. Patients have the right to fully participate in all decisions related to their health care and may include a designated family member or support person. 

4. Patients and their family members have the right to participate in the development and implementation of their plan of care including but not limited to the following:

  • Make informed decisions regarding their care, and give consent for that care. Consent would be given by the appropriate individual if the patient does not have the capacity to sign consent. 
  • Be informed of their health status 
  • Be involved in care planning, treatment and discharge planning. 
  • Request or refuse treatment being offered or suggested 
  • Formulate advance directives and to have their wishes regarding end-of-life decisions honored 
  • Have practitioners and staff provide care that is consistent with these directives 

5. Patients may choose to participate in research studies or clinical trials which have been approved for use at CoxHealth. 

6. To participate in the development and implementation of the pain management plan. 

7. Privacy and Confidentiality of their health information. For additional information, see the Notice of Privacy Practices. 

8. Patients have the right to request their name not be included in the hospital patient listing, which means the hospital staff will not acknowledge that they are a patient in the hospital. Patients also have the right to not provide their religious affiliation so that their name will not be provided to visiting community clergy or their designated staff. Unless we are told to restrict patient information, patients will be included in the patient listing and their name given to visiting community clergy. 

9. Access the information contained in their medical records and request amendments when documentation is thought to be inaccurate or incomplete. 

10. Effective communication that considers hearing, speech, and visual impairments as well as language barriers. 

11. Physical access to the facility regardless of the patient’s physical impairment. 

12. Be protected against all forms of abuse or harassment while a patient at CoxHealth. 

13. Be free from seclusion and restraints of any form that are not medically necessary or are used as a means of coercion, discipline, convenience, or retaliation by staff 

14. File a grievance in writing, electronic notification, or by calling the appropriate patient representative if they have a complaint about the care received

Springfield Hospital Services

Ferrell-Duncan Clinic

Regional Services Clinics  

Cox Medical Center Branson 

Cox Monett Hospital

Cox Monett Hospital Help Line
417-354-4357 (HELP)                        

If a patient files a grievance, they will be notified about the Cox Grievance Process. A staff member in Administration or The Office of Patient Experience will provide an explanation of the grievance process to include all internal and external steps. As a recipient of Medicare or Medicaid services the patient has the right to file a complaint with: 

The Department of Health and Senior Services Complaint Hotline

Primaris QIO Beneficiary Helpline for quality of care complaints and discharge appeals 

DNV Healthcare, Inc. 

15. Request and receive an explanation of their bill for services. 

16. Be adequately informed about the person(s) responsible for the delivery of their care, treatment and services and to have questions answered in regard to possible conflicts of interest the care giver may have in the provision of that care. 

17. Be informed about the outcomes of the care provided, including unanticipated outcomes. 

18. Access protective or advocacy services and resources such as those offered by the State of Missouri. Contact information for some of these services is available upon request. 

Patients have the responsibility to:

1. Communicate with caregivers their desires and to ask questions to ensure they understand the plan of care being considered. 

2. Notify staff when they believe their rights have been violated. Patients may contact the Office of Patient Experience at 417-269-6101 

3. Provide adequate information to allow CoxHealth to bill any insurers, make arrangements for payment of services, or request financial assistance. 

4. Not use recording devices such as cameras, video cameras, cell phones and similar devices in patient care areas. The use of recording devices is strictly prohibited without prior approval. Those who may intentionally or unintentionally capture electronic recordings without permission will be asked to delete such recordings from any devices used.

Additional rights provided to you under HIPAA (Heath Insurance Portability & Accountability Act) of 1996.

Notice of Privacy Practices

The notice of privacy practices is available at each registration area, available on our website at, and can be mailed to you if you call 417.269.6144.

  • Right to request restrictions on uses and disclosures. 
  • Right to access medical records. 
  • Right to request amendments. 
  • Right to request an accounting of disclosures. 
  • Right to request confidential communications. 

If you have any questions or concerns regarding any of these rights, please do not hesitate to contact the Privacy and Security Officer at 417-269-6068.