Patient Information

Patient Rights & Responsibilities


1. To provide information about your health, including past illnesses, hospital stays, and current use of medicine.

2. To ask questions when you do not understand information or instructions. If they believe they can’t follow through with treatment, they are responsible for telling their doctor

3. To be considerate of the needs of other patients and staff of the surgery center

4. To provide information regarding insurance and for working with the surgery center to arrange payment for charges not covered by insurance.

5. To recognize the effect of lifestyle on their personal health.

6. For arranging transportation home from the facility with a responsible adult.

7. All patients are responsible for their own actions if they refuse treatment or do not follow the doctor’s recommendations.

All Patients have the Right: 

  • To receive treatment without respect to age, sex, race, ethnicity, cultural, religious, language, physical or mental disability, sexual orientation, or socioeconomic background.
  • To be informed of alternative treatments and to choose among the alternatives, including the right to refuse treatment to the extent permitted by law, and to be informed of the medical consequences of their actions.
  • To receive treatment in a safe environment free from all forms of abuse or harassment.
  • Privacy concerning their medical care.
  • To expect that all communications and records pertaining to their care should be treated as confidential.
  • To examine and receive an explanation of their treatment program from their chosen physician. They have the right to ask for and receive further clarification of the treatment plan if the course of treatment is not understood. Patients then have the responsibility to cooperate in their treatment plan.
  • To appropriate assessment and management of pain.
  • To be informed of the process and procedure for expressing suggestions, complaints and grievances through LCSC’s Director, privacy officer or the office of the Ombudsman, Cabinet for Health and Family Services.
To contact the Ombudsman:
By telephone: 1-800-372-2973 or 1-800-627-4702 (TTY).

By Mail:
Cabinet for Health and Family Services
275 East Main Street, 1E-B,
Frankfort, KY 40621

By email at

Office of Medicare Beneficiary Ombudsman

  • To language interpreters, translation services, or special equipment will be provided for those that are visually, hearing, physically or mentally impaired. If at any time you believe you are not being treated in a fair and concerned manner, please notify our Director at 678-9688.

Advance Directives

Coming Soon!

Preparation Instructions:

Preparing for your surgery is very important. To reduce the risk of any complications during your surgery, please read the following instructions carefully. In the event that these instructions are not followed, your surgery will be subject to cancellation.
Your surgeon may plan for you to have certain laboratory tests or x-rays prior to being admitted to our center. It is important that you follow your surgeon's instructions completely to avoid delays or cancellation of your procedure.

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. This notice applies to Lake Cumberland Surgery Center, LP, the doctors and other healthcare providers practicing at our facilities


How your health information may be used: We may use health information about you for your treatment purposes. Examples of each item mentioned above include:

Treatment:     We may need to send your medical record information to a specialist or physician as part of referral for continuity of care.

Payment:     We will use your health information and other identifying information for billing Medicare, Medicaid or other health insurance plans.

Operations or Administrative Purposes:  We use your information when processing your medical records for completeness and to compare patient data to improve our treatment methods.

How your information may be disclosed: As a healthcare provider, we are subject to certain requirements in which we have to disclose your health information. These disclosures are generally routine to all patients and are done without your specific authorization for several reasons.

  • State and Federal laws require us to report cases of abuse, neglect, or other reasons requiring law enforcement.
  • Public health activities.
  • Health oversight agencies.
  • Judicial and administrative proceedings.
  • Death and funeral arrangements.
  • Organ donation.
  • Special government functions including military and veteran requests.
  • To prevent serious threat to health or public safety, and
  • Pathology, which is cancerous, will be reported to the Cancer Registry.
We may also contact you after your current visit for follow-up after your surgery for information regarding treatment and post-op care or other health related services that may be of benefit to you. We will obtain your written authorization for any other disclosures beyond the reasons listed above.