PATIENT BILL OF RIGHTS AND RESPONSIBILITIES
SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES, INC.
Effective Date: October 16, 2026
Medical Director / Supervising Physician: Samuel Einbinder, MD
1. OUR COMMITMENT TO PATIENTS
Synergy Hematology Oncology Medical Associates, Inc. is committed to providing respectful, ethical, medically appropriate, and patient-centered outpatient healthcare services. Every patient has the right to be treated with dignity, to receive understandable information about their care, to participate in treatment decisions, and to have their privacy protected.
This Patient Bill of Rights describes the protections and responsibilities applicable to patients receiving services through our Practice. It incorporates patient-centered principles and the rights identified in California Health and Safety Code § 11857.2, enacted through Senate Bill 349 (SB 349), to the extent applicable to the services and regulatory status of the Practice.
2. YOUR RIGHTS AS A PATIENT
Every patient has the right to:
1. Respect, dignity, and nondiscrimination. Receive considerate, respectful care without unlawful discrimination, harassment, humiliation, exploitation, or retaliation.
2. Privacy and confidentiality. Have personal and medical information handled confidentially in accordance with applicable federal and California privacy laws, including HIPAA where applicable.
3. Information about providers. Know the identity, professional qualifications, and role of the physician and other healthcare professionals involved in their care.
4. Informed consent. Receive understandable information about a proposed examination, treatment, procedure, or service, including its purpose, expected benefits, material risks, reasonable alternatives, and the option to decline treatment.
5. Participation in treatment decisions. Participate in developing and reviewing an individualized treatment plan, ask questions, and make informed decisions about care.
6. The right to refuse treatment. Decline a recommended intervention or discontinue treatment, subject to applicable law and any consequences explained by the treating provider.
7. Qualified healthcare personnel. Receive care from appropriately qualified personnel acting within their professional scope of practice, training, and legal authority.
8. Evidence-based and medically appropriate care. Receive services consistent with applicable professional standards and available evidence, taking into account individual clinical needs and circumstances.
9. Individualized treatment planning. Receive an appropriate treatment plan with relevant clinical goals and opportunities to review progress and discuss modifications.
10. Co-occurring conditions. Have co-occurring medical or behavioral health conditions considered and addressed through appropriate treatment, referral, or coordination of care when clinically indicated and within the Practice’s authorized scope of services.
11. Continuity and coordination of care. Receive appropriate information and assistance regarding follow-up care, referrals, and other healthcare resources when indicated.
12. Freedom from abuse and coercion. Be free from physical or mental abuse, exploitation, intimidation, coercion, and unlawful restraint.
13. A safe and ethical care environment. Receive services in an environment that respects personal safety, dignity, and applicable professional and legal standards.
14. Questions and reasonable requests. Ask questions about services, policies, treatment recommendations, and fees, and receive a reasonable response.
15. Medical records. Request access to medical records, copies, amendments, or other information as permitted by applicable law.
16. Billing transparency. Receive information about applicable charges and financial obligations and request an explanation of an invoice or bill.
17. Complaints and grievances. Raise concerns about care, staff conduct, privacy, billing, or other Practice operations without unlawful retaliation.
18. Support and education. Receive appropriate educational resources and, when available and authorized, support for family members or other individuals involved in care, subject to patient consent and applicable confidentiality laws.
19. Information about this Bill of Rights. Receive access to this document and have an opportunity to ask questions about its provisions.
3. ADDITIONAL RIGHTS FOR SUBSTANCE USE DISORDER TREATMENT
When the services provided and the Practice’s regulatory status bring the treatment within the scope of California Health and Safety Code § 11857.2, patients receiving substance use disorder treatment have the rights established by that law, including:
- To be treated for substance use disorder with honesty, respect, and dignity, including privacy in treatment and personal care.
- To be informed of recommended treatment options, including the option of no treatment, the risks of treatment, and expected results.
- To receive services from qualified treatment personnel.
- To receive evidence-based treatment.
- To receive treatment for co-occurring behavioral health conditions when medically appropriate and authorized.
- To receive an individualized, outcome-driven treatment plan.
- To remain in treatment for as long as the treatment provider is authorized to provide treatment, subject to applicable law and clinical circumstances.
- To receive family support, education, or treatment when the provider is authorized to provide those services.
- To receive care in a safe and ethical treatment setting.
- To be free from mental and physical abuse, exploitation, coercion, and physical restraint.
- To receive information about applicable complaint procedures, including relevant DHCS contact information.
- To receive ethical care in accordance with applicable statutory and regulatory requirements.
Nothing in this section requires the Practice to provide a service outside its authorized scope or to provide a service for which it is not legally or contractually obligated to provide reimbursement.
4. PROVIDER AND LICENSURE DISCLOSURE
Treating / Supervising Physician: Samuel Einbinder, MD
License #: A175523
Outpatient services provided through Synergy Hematology Oncology Medical Associates, Inc. are rendered under the professional medical licensure and clinical oversight of the appropriately licensed healthcare professionals involved in the patient’s care.
Patients may ask the Practice to clarify the identity, professional license, and role of their treating clinician, as well as the regulatory status of the services they receive.
5. PATIENT RESPONSIBILITIES
To support safe and effective care, patients are encouraged to:
- Provide accurate and complete information about their health, medications, allergies, and relevant medical history.
- Inform their healthcare provider of changes in their condition.
- Ask questions when information or instructions are unclear.
- Participate in treatment decisions and discuss concerns about recommendations.
- Follow mutually agreed treatment instructions or notify the provider when they cannot do so.
- Treat Practice personnel and other patients respectfully.
- Follow reasonable office policies concerning appointments, safety, and conduct.
- Provide current contact and billing information and communicate questions about charges.
- Respect the privacy and safety of others receiving services.
A patient’s inability to meet a responsibility does not eliminate any rights provided by applicable law.
6. COMPLAINTS AND GRIEVANCES
Patients are encouraged to raise concerns directly with the Practice so that the matter can be reviewed and addressed.
Practice Name: Synergy Hematology Oncology Medical Associates, Inc.
Attention: Michael Spector / COO
Address: Synergy Hematology Oncology Medical Associates, Inc. P.O. Box 48107 Los Angeles California 90048
Telephone: 323-525-1111
Email: abatmanian@synergycure4u.com
Patients may request that a complaint be documented and reviewed. We will handle complaints respectfully and will not unlawfully retaliate against anyone for raising a concern.
Medical Board of California
For concerns regarding a physician’s professional conduct or medical practice, patients may contact the Medical Board of California:
Website: https://www.mbc.ca.gov/Consumers/Complaints/
Telephone: (800) 633-2322
Privacy Complaints
For concerns involving medical information or privacy rights, patients may also consult the Practice’s Notice of Privacy Practices and, when applicable, file a complaint with the U.S. Department of Health and Human Services, Office for Civil Rights:
https://www.hhs.gov/hipaa/filing-a-complaint/index.html
7. ACKNOWLEDGMENT OF RECEIPT
I acknowledge that I have been provided access to the Patient Bill of Rights and Responsibilities and have had the opportunity to ask questions.
My signature acknowledges receipt only. It does not waive any legal rights or constitute consent to a particular treatment or procedure.
Patient Name: __________________________________
Patient Signature: _______________________________
Date: __________________________________________
Parent / Legal Representative, if applicable: _______________________________
Relationship to Patient: __________________________
Staff Member: ___________________________________
Date Provided: __________________________________
SYNERGY HEMATOLOGY ONCOLOGY MEDICAL ASSOCIATES, INC.
Treating / Supervising Physician: Samuel Einbinder, MD