Austin Gastroenterology and Liver Clinic

Effective Date: 1/19/2026

Austin Gastroenterology and Liver Clinic (“AGLC,” “we,” “our,” or “us”) is committed to providing high-quality, respectful, and safe medical care. This document outlines your rights and responsibilities as a patient in accordance with federal law, Texas law, and accepted standards of medical practice.

Patient Rights

As a patient of Austin Gastroenterology and Liver Clinic, you have the right to:

1. Respectful, Non-Discriminatory Care

• Receive considerate, respectful, and compassionate care in a safe environment

• Be treated without discrimination based on race, color, national origin, age, sex, gender identity, sexual orientation, religion, disability, marital status, or source of payment, as protected by law

2. Information About Your Care

• Receive clear, understandable information about your diagnosis, treatment options, risks, benefits, and alternatives

• Be informed of the names and roles of healthcare professionals involved in your care

• Receive information in a manner you can understand, including access to language assistance services when reasonably available

3. Participation in Care Decisions

• Participate in decisions regarding your healthcare to the extent permitted by law

• Refuse treatment to the extent permitted by law and be informed of the potential consequences of refusal

• Request a second opinion

4. Privacy and Confidentiality

• Have your medical records and personal health information kept confidential in accordance with HIPAA and Texas law

• Access, review, and obtain a copy of your medical records

• Request corrections or amendments to your medical information

5. Informed Consent

• Receive information necessary to provide informed consent before procedures, treatments, or participation in telehealth services

• Ask questions and receive answers prior to giving consent

6. Pain Management

• Have pain assessed and managed appropriately as part of your care

7. Continuity of Care

• Receive reasonable continuity of care and appropriate discharge or follow-up instructions

• Be informed of available care options and alternatives when care is no longer clinically indicated

8. Complaints and Grievances

• Voice concerns, complaints, or grievances regarding your care without fear of retaliation

• Receive information on how to file a complaint with the clinic, the Texas Medical Board, or other appropriate regulatory agencies

9. Financial Transparency

• Receive information about charges, billing practices, and payment policies

• Request an explanation of your bill

Patient Responsibilities

To help us provide safe and effective care, you have the responsibility to:

1. Provide Accurate Information

• Provide complete and accurate information about your health history, medications, allergies, and symptoms

• Inform us of changes in your condition or contact information

2. Follow the Treatment Plan

• Follow agreed-upon treatment plans and instructions

• Ask questions if you do not understand your care or instructions

3. Respect and Consideration

• Treat healthcare providers, staff, and other patients with courtesy and respect

• Refrain from abusive, threatening, or disruptive behavior

4. Appointments and Scheduling

• Arrive on time for appointments

• Provide reasonable notice if you must cancel or reschedule an appointment

5. Financial Responsibilities

• Provide accurate insurance information

• Pay for services in accordance with clinic billing policies, including copayments, deductibles, and balances not covered by insurance

6. Safety and Compliance

• Follow clinic rules and safety policies

• Use clinic facilities and equipment responsibly

Advance Directives

You have the right to create and provide advance directives, including a medical power of attorney or directive to physicians, as permitted by Texas law. Please provide copies of any advance directives to the clinic.

Telehealth-Specific Rights and Responsibilities

When participating in telehealth services:

• You have the right to understand the benefits and limitations of telehealth

• You may withdraw consent for telehealth at any time and request in-person care when appropriate

• You are responsible for providing a private environment and reliable technology to support telehealth visits

Complaints and Contact Information

If you have concerns or wish to file a grievance, please contact:

Practice Manager / Privacy Officer
Austin Gastroenterology and Liver Clinic
[Address]
[Phone Number]
[Email Address]

You may also contact:

• Texas Medical Board (www.tmb.state.tx.us)

• U.S. Department of Health and Human Services, Office for Civil Rights

Patient Rights and Responsibilities