Patient Rights and Responsibilities

 Hmong | Spanish

Thank you for choosing us for your care. As a patient, you have the right to be told how we will care for you. We also ask that you become involved in your own care in an open, respectful partnership. Please take a moment to review what you can expect during your time with us, so your experience at Gundersen is the best it can possibly be.

The Patient Rights and Responsibilities are available in Spanish and Hmong above. Interpreters are available for other languages.

We respect your right to:

High-quality care

  • Care with dignity, respect and appreciation of the beliefs and values of each patient. We care for patients without regard to: age, race, ethnicity, religion, culture, language, physical or mental disability, socioeconomic status, sex, sexual orientation, gender identity or expression.
  • Be informed about the care you will receive.
  • Know the names of your caregivers.
  • Have your pain evaluated.
  • Know when something goes wrong with your care.
  • Be given a list of all your current medicines.

A clean, safe environment

  • Safe care by staff trained in safe practices.

Involvement in your care

  • Get information in a manner that you best understand.
  • Get information about your care in your preferred language.
  • Get information in a way that will meet your needs if you have vision, speech, hearing or mental impairments.
  • Make decisions about your care.
  • Refuse care, if you so choose.
  • Express your thoughts and be heard.
  • Have a personal representative, also called an advocate, with you during your care. Your advocate is a family member or friend of your choice.

Protection of your privacy

  • Request confidential status to protect your identity as a patient.
  • Understand that we store and protect your medical records. These records are kept private. You must make a written request for us to share your records with others.
  • Review your records and have them explained in words you understand. You may have a copy of your record. A fee for copies may apply.
  • Request a copy of the Notice of Privacy Practices at (608) 775-6237.

Help when leaving Gundersen Lutheran Medical Center Inc. and Gundersen Clinic Ltd.

  • Understand what medicine to take, why it is needed and when to take it.
  • Receive help with follow-up care.
  • Understand options of skilled care in the home or alternative care, such as a nursing home or assisted living facility, if needed.

Help with your bill

  • Ask for an explanation of your charges.
  • Understand the cost of your care.
  • Request financial assistance or advice for places to apply for help.

Share your concerns at the time of your service

  • Talk with your nurse or doctor.
  • Talk with the charge nurse or clinical manager.
  • Fill out a "We value your opinion" comment card. These are available in public areas and waiting rooms.
  • Email:
  • Speak with a patient representative. From 8 a.m. to 5 p.m. weekdays, call (608) 775-7676 or (800) 362-9567, ext. 57676. After 5 p.m., weekends and holidays, call (608) 782-7300 or (800) 362-9567. Ask for the hospital operations manager.

If you are not satisfied with our resolution or choose not to use our complaint process, you also have the right to contact a state agency:

  • If you received care in Wisconsin, contact The Wisconsin Department of Health Services (800) 642-6552.
  • If you received care in Iowa, contact the Iowa Department of Inspections and Appeals (515) 281-7102.
  • If you received care in Minnesota, contact the Office of Health Facility Complaints (651) 201-4201.
  • You may contact Kepro (855) 408-8557.
  • Or, you may contact The Joint Commission, call (800) 994-6610, or email:

Updated 08/2014

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