Patient information

Financial Coverage Form (Form 17)

Ambulatory patients are required to obtain a financial coverage form (Form 17) from their health insurance providers prior to treatment. In lieu of this form, patients can prepay with cash or a credit card. The outpatient fee, as determined by the Department of Health, is presently 203 shekels for an outpatient clinic appointment with a specialist physician.

Patients’ Rights and Responsibilities

At the Tel Aviv Medical Center, we honor your rights as a patient and as a person.

Your Rights

Respect
You have the right to receive considerate treatment that is respectful, acknowledges your beliefs, values your culture, and adheres to your religious observance.

 

Privacy
You have the right to receive treatment that maintains your privacy in the context of prevailing Medical Center conditions. During your examination, you have the right to request the presence of an additional person as an observer within the context of the prevailing Medical Center conditions.

 

Confidentiality
Your medical condition and particulars of your treatment are your private concern. Every member of your treating staff is obligated to maintain professional confidentiality. Details about your medical condition will be relayed to another person only with your explicit consent or in accordance with the requirements of the law.

 

Informed Consent

Your free and willing consent is a necessary precondition to treatment. In order to decide on the treatment being offered, you have the right to receive complete and up-to-date information about your diagnosis, the risks of the treatment, and possible side effects. You may also verbally receive information on alternative treatments, if available, or preventive treatments and their associated risk factors. You will receive detailed information before your surgery or invasive procedure, and you will be asked to sign a consent form. Do not hesitate to ask questions before signing the consent form. You have the right to withdraw your consent at any stage of treatment without affecting the relationship between you and the treating staff.

 

Medical Information

You have the right to receive, throughout the duration of your hospitalization, complete and detailed information regarding your medical condition, treatment, and examinations. The information will be given to you in accordance with the policies of the TASMC department. Upon discharge, you have the right to receive a written, detailed summary of your hospitalization. Copies of this documentation will remain in your medical file, as well as copies of your x-rays. Duplication of this information may require payment, according to Ministry of Health policies.

 

Second Opinions

We honor your right to request a second consultative opinion on any medical condition in addition to that of the direct department staff caring for you. If you opt for a second opinion, please notify either the department director or the senior physician responsible for the department. After notifying the senior staff member, you may request a second opinion from any specialist in coordination with the department director. We must emphasize that any communication with and payment to an outside physician is your responsibility. The Medical Center is in no way obligated or responsible for your consultation, and the Medical Center is not obligated to act upon the second opinion.

Your Responsibilities

In addition to your rights, you are also responsible to adhere to Medical Center rules so that we will be able to give you the best and most professional care possible. You and your guests are requested to strictly behave in a proper and respectful manner while within the walls of the hospital:

  • To give all information regarding your health to the medical treatment staff 
  • To treat the medical staff with respect 
  • To maintain cleanliness
  • To maintain quiet and avoid loud or disruptive noise
  • To abstain from smoking inside the hospital except within specially designated areas
  • To avoid damaging hospital property
  • To avoid using cellular telephones while in the hospital departments
  • To leave the hospital when you have been discharged at the end of treatment
  • To avoid bringing non-kosher food into the hospital
  • To notify your guests regarding department visiting hours. The presence of visitors in the department after visiting hours disturbs the rest that patients need and disrupts the staff’s ability to function effectively