Patient Bill of Rights

At Hawaii Pain Specialists, we believe in treating patients with respect and dignity.  We are committed to honoring these rights to the best of our ability.  As such, our patients have basic rights as delineated below.  In addition to these basic rights, we believe patients also have responsibilities to reciprocate respect and dignity to the physician and medical staff as delineated below.   With these rights and responsibilities, we hope to have a patient and medical staff relationship that offers optimal and respectful care.


You Have the Right...

  • To receive considerate, respectful and compassionate care in a safe setting regardless of your age, gender, race, national origin, religion, sexual orientation, gender identity or disabilities.
  • To receive care in a safe environment free from all forms of abuse, neglect, or mistreatment.
  • To be called by your proper name and to be in an environment that maintains dignity and adds to a positive self-image.
  • To be told the names of your doctors, nurses, and all health care team members directing and/or providing your care.
  • To have a family member or person of your choice and your own doctor notified promptly of your admission to the hospital.
  • To have someone remain with you for emotional support during your clinic visit, unless that person’s presence compromises your or others’ rights, safety or health. You have the right to deny that visitor at any time.
  • To be told by your doctor about your diagnosis and possible prognosis, the benefits and risks of treatment, and the expected outcome of treatment, including unexpected outcomes. You have the right to give written informed consent before any non-emergency procedure begins.
  • To have your pain assessed and to be involved in decisions about treating your pain.
  • To be free from restraints and seclusion in any form that is not medically required.
  • To expect full consideration of your privacy and confidentiality in care discussions, exams, and treatments. You may ask for an escort during any type of exam.
  • To access protective and advocacy services in cases of abuse or neglect.
  • To allow your family and friends, with your permission, the right to participate in decisions about your care, your treatment, and services provided, including the right to refuse treatment to the extent permitted by law. If you leave the clinic against the advice of your doctor, the clinic and doctors will not be responsible for any medical consequences that may occur.
  • To agree or refuse to take part in medical research studies. You may withdraw from a study at any time without impacting your access to standard care.
  • To communication that you can understand.   Every reasonable effort will be made to accommodate this need as reasonably available.
  • To make an advance directive and appoint someone to make health care decisions for you if you are unable.
  • To receive detailed information about your clinic and physician charges.
  • To expect that all communication and records about your care are confidential, unless disclosure is permitted by law. You have the right to see or get a copy of your medical records. You may add information to your medical record by contacting our clinic as deemed appropriate in documenting accurate records.  You have the right to request a list of people to whom your personal health information was disclosed.
  • To give or refuse consent for recordings, photographs, films, or other images to be produced or used for internal or external purposes other than identification, diagnosis, or treatment. You have the right to withdraw consent up until a reasonable time before the item is used.
  • You have the right to voice your concerns about the care you receive. If you have a problem or complaint, you may contact our clinic in person or call (808) 445-9120 or email   Every effort will be made to respond in a timely and reasonable manner.



You have the Responsibility...

  • To provide complete and accurate information, including your full name, address, home telephone number, date of birth, Social Security number, insurance carrier and employer when it is required.
  • To provide the clinic with a copy of your advance directive if you have one.
  • To provide complete and accurate information about your health and medical history, including present condition, past illnesses, hospital stays, medicines, vitamins, herbal products, and any other matters that pertain to your health, including perceived safety risks.
  • To ask questions when you do not understand information or instructions. If you believe you cannot follow through with your treatment plan, you are responsible for telling your doctor. You are responsible for outcomes if you do not follow the care, treatment, and service plan.
  • To actively participate in your pain management plan and to keep your doctors and nurses informed of the effectiveness of your treatment.
  • To be responsible for your belongings and valuables during your clinic visit.
  • To treat the medical staff, other patients, and visitors with courtesy and respect; and be mindful of noise levels, privacy, and number of visitors.
  • To provide complete and accurate information about your health insurance coverage and to pay your bills in a timely manner.
  • To keep appointments, be on time, and call your health care provider if you cannot keep your appointments.





Monday - Friday

8am - 4pm



8am - 12pm

Hawaii Pain Specialists

Physicians Office Building II

The Queen's Medical Center

1329 Lusitana Street

Suite 102

Honolulu, HI 96813


Main: (808) 445-9120

Fax:  (808) 445-9124



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