Patient Rights

Montrose Memorial Hospital shall ensure that all patients and where appropriate the patient’s designated representative has the right to

a. participate in all decisions involving the patient’s care or treatment;
b. be informed about whether MMH is participating in teaching programs, and to provide informed consent prior to being included in any clinical trials relating to the patient’s care;
c. refuse any drug, test, procedure, or treatment and to be informed of risks and benefits of this action;
d. care and treatment, in compliance with state statute, that is respectful, recognizes a person’s dignity, cultural values and religious beliefs, and provides for personal privacy to the extent possible during the course of treatment;
e. know the names, professional status, and experience of the staff that are providing care or treatment to the patient;
f. receive, upon request, prior to initiation of care or treatment, the estimated average charge to the patient for non-emergent care;
g. give informed consent for all treatment and procedures;
h. register complaints with MMH and the Colorado Department of Public Health and Environment (Department) and to be informed of the procedures for registering complaints including contact information;
i. be free of abuse and neglect;
j. except in emergent situations, patients shall only be accepted for care and services when the facility can meet their identified and reasonable anticipated care, treatment, and service needs;
k. have care delivered by the health care entity in accordance with the needs of the patient;
l. be free of inappropriate restraints;
m. confidentiality of medical records;
n. receive care in a safe setting;
o. receive disclosure as to whether referrals to other providers are entities in which the health care entity has a financial interest; and
p. formulate advance directives and have the health care entity comply with such directives, as applicable and in compliance with applicable state statute.
q. request that an in-network health care provider provide services at an in-network facility if available.


Receive upon request

1. Prior to the start of care or treatment, the estimated charge for non-emergent care. This includes, but not limited to help with determining the charges such as deductibles and co-payments that are not covered by insurance based on the information supplied by the patient

2. The facilities general billing procedures

3. An itemized bill that identifies services in an understandable manner and is produced within a reasonable time of the request.

Give informed consent for all treatment and procedures (It is the responsibility of the physician or independent licensed practitioner to obtain informed consent)

Register complaints with the facility, the Colorado Department of Public Health and Environment and The Joint Commission, as well as be informed of the procedures for registering complaints including contact information


  • Be free of abuse and neglect
  • Be free from the inappropriate use of restraints
  • Be accepted for ongoing treatment on the basis of a reasonable expectation that the patient’s medical, nursing, and other health care needs can be met adequately at the facility
  • Care delivered by the facility in accordance with the needs of the patient
  • Confidentiality of the medical record
  • Receive care in a safe setting
  • Disclosures as to whether referrals to other providers are entities in which the facility has a financial interest
  • To make Advance Directives
  • To have adequate pain control
  • To have a support person present as long as that person does not negatively impact the care of the patient.



As a patient, you have the following responsibilities:

Provide all information about past illnesses, hospitalizations, medications and other matters relating to your health.

Cooperate with the hospital care team by asking questions, if directions and procedures are not clearly understood or if you do not understand what is expected of you.

Follow instructions for the care, treatment, and service plans that are developed in conjunction with your input. You must express any reservations that you have about your ability to follow the proposed plan. The hospital will make every effort to adapt the treatment plans to your specific needs. When such adaptations are not felt to be in your best interest, you will be informed of the consequences of the care/treatment alternatives and not following the recommended course. Patients are responsible for the outcomes if they do not follow the care, treatment and service plan as recommended.

Provide the necessary information for insurance processing and to take the responsibility for the arrangement of payment of hospital bills.

Follow the hospital’s rules and regulations.

Show respect and consideration for the hospital staff and property as well as other patients and their property.



MMH has staff available to help you understand the health care system and assist with any problems that may occur during your visit. Any questions or complaints about any of the patient rights, the quality of care received, or issues with billing in regard to A Medicare beneficiary or any other issue may be given either verbally or in writing to any member of the MMH staff. Many complaints can be resolved immediately and will be handled as quickly as possible. If you communicate a complaint that the staff members presently working are unable to resolve, the following shall be done

  • The Patient Care Advocate (PCA) will be notified and will contact you concerning your complaint. If the complaint is registered at times other than regular business hours or days, the PCA will contact you within three working days. If you voice your complaint during normal business hours and you wish to contact the PCA he/she may be reached by calling 240-7355. You may also request that any staff member contact the PCA for you.
  • The Patient Care Advocate will investigate your complaint and respond to you in writing within 15 working days.
  • If you are dissatisfied with the findings presented to you in writing, your complaint will be forwarded to the appropriate Senior Leader, or the Colorado Department of Public Health and Environment (CDPHE) at 4300 Cherry Creek Drive S. Denver Colorado, 80246, phone 303-692-2000. You may contact THE CDHPE at any time yourself.
  • When the complaint is forwarded to the Senior Leader, he/she or their designee, will contact you in writing within 10 working days of receipt with their investigation and findings.
  • If you are not satisfied with the findings of the Senior Leader, you may request that the investigation and findings be forwarded to the CDPHE.
  • You may also contact The Joint Commission at 1-800-994-6610 with your concern.

If you need help with translation or interpretation services the facility shall provide them through the means available.


Advance Directives

MMH believes the patient has the right to make decisions regarding health care, including the right to make advanced directives. MMH recognizes its responsibility to educate patients in regard to these rights and to make every effort to assure the patient’s wishes are respected.

The Hospital’s Ethics Committee can help patients and their families if problems making health care decisions are experienced. The Nursing Staff or Patient Care Advocate can assist the patient, designated representative, or family member with contacting the committee.


Colorado End of Life Options Act  (C.R.S. § 25-48-101, et seq.)

Montrose Memorial Hospital, Inc. has chosen to not participate under the Colorado End of Life Options Act. Physicians employed by or contracted with Montrose Memorial, may not knowingly participate in activities under the Act.