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We are pleased to announce we are now offering psychiatric care! Click here to learn more.

Centennial Counseling Center

Patient Bill of Rights

Welcome to our practice. This document will explain your client’s rights and responsibilities. It is part of your client registration and is an important part of your health care plan. If you have any questions, please contact Centennial’s leadership: Timothy Buhrt (St. Charles), Jennifer McKay (Yorkville), Jennifer Geltz (Sandwich), or Kathie Faith (St. Charles).

We comply with applicable Federal civil rights laws and affirm that we will deliver high-quality health care to every client.  Our commitment to you, our client, includes the following rights:

  • Be treated with dignity, respect, and autonomy.
  • Be treated respectfully regardless of your age, gender, disability, race, color, ancestry, citizenship, religion, pregnancy, sexual orientation, gender identity or expression, national origin, health condition, marital status, veteran status, payment source or ability, or any other basis prohibited by federal, state, or local law.
  • Have your treatment explained in terms that you can understand and to have any question answered concerning your symptoms, diagnosis, prognosis, and treatment.
  • Be assured of the confidential treatment of disclosures and records and to approve or refuse the release of such information, except when release of specific information is required by law.
  • Received a clear explanation of your condition and treatment options and know your treatment choices regardless of cost or coverage by your benefit plan.
  • Develop a collaborative treatment plan, whether verbal or written.
  • Be informed of fees.
  • Refuse to be treated and to be informed of the consequence of such decisions.
  • Have clinical decisions about your care made on the basis of treatment needs.
  • If you believe Centennial Counseling Center has failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:

Timothy Buhrt, CEO,Centennial Counseling Center
1120 E. Main Street, St. Charles, IL  60174
Telephone:  630-377-6613
FAX: 630-377-6225

You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal online, by mail, or phone at:

U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, DC  20201
1-800-368-1019, 1-800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/index.html

You are an important and active member of your care plan.  You have certain responsibilities to yourself and to your care team.  In the spirit of shared trust and respect, we ask you to:

  • Treat those giving you care with dignity and respect.
  • Give clinician information that he/she may need in order to provide quality care and appropriate services.
  • Ask questions about your care in order to understand your care.
  • Keep your appointments.  Appointments should be cancelled no later than 24 hours in advance.  Know that a “no show fee” will be charged for appointments cancelled less than 24 hours prior to appointment.
  • Let your clinician know when treatment is not working for you.
  • Let your clinician know about problems with paying fees.