We consider you a partner in your hospital care. When you are well informed, participate in treatment decisions, and communicate openly with your doctor and other health professionals, you help make your care as effective as possible. This hospital encourages respect for the personal preferences and values of each individual.
While you are a patient in the hospital, your rights include the following:
- You have the right to considerate and respectful care.
- You have the right to be well informed about your illness, possible treatments, and likely outcome and to discuss this information with your doctor.
- You have the right to know the names and roles of people treating you.
- You have the right to consent to or refuse treatment, as permitted by law, throughout your hospital stay. If you refuse a recommended treatment, you will receive other needed and available care.
- You have the right to have an advance directive, such as living will or health proxy. These documents express your choices about your future care or name someone to decide if you cannot speak for yourself. If you have a written advance directive, you should provide a copy to the hospital, your family, and your doctor.
- You have the right to privacy. The hospital, your doctor, and others caring for you will protect your privacy as much as possible.
- You have the right to expect that treatment records are confidential unless you have given permission to release information or reporting is required or permitted by law. When the hospital releases records to others, such as insurers, it emphasizes that the records are confidential.
- You have the right to review your medical records and to have the information explained, except when restricted by law.
- You have the right to expect that the hospital will give you necessary health services to the best of its ability. Treatment, referral, or transfer may be recommended. If transfer is recommended or requested, you will be informed of risks, benefits, and alternatives. You will not be transferred until the other institution agrees to accept you.
- You have the right to know if this hospital has relationships with outside parties that may influence your treatment and care. These relationships may be with educational institutions, or other health care providers, or insurers.
- You have the right to consent or decline to take part in research affecting your care. If you choose not to take part, you will receive the most effective care the hospital otherwise provides.
- You have the right to be told of realistic care alternatives when hospital care is no longer appropriate.
- You have the right to know about hospital rules that affect you and your treatment and about charges and payment methods. You have the right to know about hospital resources, such as patient representatives or ethics committees, that can help you resolve problems and questions about your hospital stay and care.
- You have responsibilities as a patient. You are responsible for providing information about your health, including past illness, hospital stays, and use of medicine.
- You are responsible for asking questions when you do not understand information or instructions. If you believe you can't follow through with your treatment, you are responsible for telling your doctor.
- This hospital strives to provide care efficiently and fairly to all patients and the community.
- You and your visitors are responsible for being considerate of the needs of other patients, staff, and the hospital.
- You are responsible for providing information for insurance and for working with the hospital to arrange payment, when needed.
- Your health depends not just on your hospital care, but in the long term, on the decisions you make in your daily life. You are responsible for recognizing the effect of life-style on you personal health.
- A hospital serves many purposes. Hospitals work to improve people's health, treat people with injury and disease, educate doctors, health professionals, patients, and community members, and improve understanding of health and disease. In carrying out these activities, this institution works to respect your values and dignity.
There may come a time when you or a member of your family is seriously hurt or becomes gravely ill. In the midst of your shock and grief you may be asked to make difficult decisions about the intensity of medical care administered, or whether or not life support systems should be used or withdrawn. While advances in medical technology have saved thousands of lives, sometimes the very capabilities of this technology to sustain life raises questions about the humanity of prolonging life in certain situations.
Whether it is you or a family member involved, it's a lot harder to make good decisions when you are under a lot of stress.
While making these decisions can be difficult, your physician as well as chaplains, nurses and social workers can assist you.
A competent, informed patient has the right to determine how far the medical team should go to prolong life, in light of expected outcomes.
CHRISTUS Mother Frances Hospital-Sulphur Springs has made a commitment to the preservation of life and the alleviation of suffering. Therefore, every patient admitted to Memorial Hospital will receive total life support including CPR, unless a decision has been previously made. This is called a "Do Not Resuscitate" order and is made only after thoughtful discussions between the physician, the competent patient, and any others involved in the decision-making process. It is the physician's responsibility to inform those involved of the patient's diagnosis and likelihood of recovery.
A Living Will is a legally binding document which allows you to specify what kind of medical treatment you wish to receive should the need arise. Most states, including Texas, currently recognizes living wills. They are binding only within state boundaries, but some states will honor those from elsewhere. Living Wills are effective in Texas until they are revoked. Still, it's considered a good idea to initial and date your living will every few years to show that it still expresses your wishes. YOU CAN REVOKE or amend your living will at any time simply by destroying the will, deleting certain sections and by telling your physician or nurse.
You may select another person to make health care decisions for you if you are unable to speak for yourself. These choices could include the withholding of care, as well as matters of more routine care. This designation is made by signing a DURABLE POWER OF ATTORNEY FOR HEALTH CARE.
Copies of the Living Will (Directive to Physician) and/or Durable Power of Attorney for Health Care can be obtained from the hospital's Social Services Department or from the Admission Office.
For any additional information or questions, please contact the Social Services Department at 903-439-4092.
CHRISTUS Mother Frances Hospital-Sulphur Springs has an Ethics Committee. Should you have a concern about your care or ethical issues here at the hospital, please Administration at 903-439-4052. After hours, weekends, and holidays contact the operator and ask to speak with the House Supervisor.
If your concern is not resolved or you feel you need to express your concern to an entity other than the Hospital, call the Texas Department of State Health Services at 1-888-973-0022.
Admission & Registration Process
For medical record purposes, each patient has their own unique medical record number. Your personal information (name, date of birth and social security number) is requested at the time of registration in order to match up to the correct medical record number.
For bill tracking and processing purposes a new account number is assigned to you for each new date of service received at the hospital for an outpatient or inpatient service to the hospital. You will be asked to sign consent forms as well as forms required by government guidelines and policies. Please bring your most current photo ID and most recent insurance card for the purpose of scanning copies to your account.
Patients With Insurance:
If complete and accurate insurance information is provided to us for your service we will file a claim to your primary and secondary insurance.
Most insurance plans do not provide 100% coverage for hospital billings. Payment for deductibles, copays and coinsurance is expected at the time of service unless other arrangements are approved.
Patients Without Insurance:
Patients without insurance are expected to pay the estimated deposit in full at the time of service or at discharge unless approved arrangements are made. There is an uninsured discount available.
For hospital services estimates and/or payment arrangements
prior to service contact the financial counselor at 903-439-4063 or 903-439-4059.
About Your Bill
You will receive one or more bills for the services furnished to you by CHRISTUS Mother Frances Hospital-Sulphur Springs. Your hospital bill includes charges for your room, food, medical supplies, nursing care and any tests or procedures performed.
Physician Professional Fees:
Most physicians are independent providers, not hospital employees. You will receive separate billing from the physicians for their professional fees. This may include the administration of anesthesia and interpretations of any lab and/or radiological tests.
Methods of Payment
We accept Visa, Master Charge, Discover, checks and cash. Payments may be received by mail or in person.
For your convenience, credit card payments may be paid in person or can be taken over the phone. We can set up your credit card information as a method of payment on a recurring basis by your completion of an authorization form in the Business Office. Onsite patient advocate
is available to screen and assist patients in completing applications for any federal, state or local government programs that may be available. The advocate will obtain any needed documentation required for approval of these programs and walk the patient through the process including attending interview appointments.
Hopkins County Assistance Program
is available for Hopkins County residents who qualify.
Hospital bills are normally sent out by the 5th day following discharge or outpatient service. If we are filing a claim to your insurance, you will be notified of the balance due on your account after your insurance company has paid their portion.
Delays in payment by insurance may be a result of additional information required. The insurance company may send requests to you for additional information such as:
Coordination of Benefits:
The insurance company is seeking additional information to determine if there might be another payor that is primary. When there are two insurance companies involved they go by rules to determine which insurance is considered primary. It is essential that you contact your insurance with this information even if there is no other insurance to cover.
Accident Information: If there is something on your record that indicates that your service may be related to an accident whether it is or not, your insurance company will send you a claim form or letter requesting additional information. They are trying to determine if another party may be responsible to pay your claim. It is essential that you contact your insurance to prevent further delays even if there was no accident.
Pre-Exist: This is a condition for which you have been seen, treated or diagnosed during a certain time frame as defined by your insurance plan. If your plan has a pre-existing clause, once your claim is received by your insurance, the insurance will start to gather information, usually with a letter to you inquiring about providers you have seen within a certain time frame. Then the insurance will send inquiries to those providers for information from the provider’s records. Pre-exist limitations may be waived if you have coverage within 6 months prior to your current insurance coverage with proof by a Letter of Creditability from your former insurance plan.
If you do not respond, they will not release the claim for payment and we may have no other choice than to bill you for the entire balance.
Bill Payment and Inquiry
Please contact the Business Office in person or by phone at the number below to discuss your account. It is helpful to have your patient account number available when calling, but it isn’t necessary.
Business Office Contact Information:
Mailing Information: P.O. Box 275, Sulphur Springs, TX 75483-0275
Main number: 903-439-4065
Business Office Hours: 8:00-4:30 Monday thru Friday
Payment arrangements must be set up in the hospital billing system to prevent the account from proceeding through collection steps.