CISME · Legal

Patient rights

As a patient of mental health services in Puerto Rico, you have rights protected by the Mental Health Law (Law 408-2000), administered by ASSMCA, and the Patient's Bill of Rights and Responsibilities (Law 194-2000). Before you contract services we will ask you to confirm you read them.

Reviewed October 16, 2026 ✓ Approved October 16, 2026 Effective October 16, 2026

01Puerto Rico Mental Health Law (Law 408-2000)

Your specific rights as a person receiving mental health services (Article 3.06) include:

Access to services

Receive the services you need.

Not being identified

Not being publicly identified as a mental health patient.

Notice of rights

Having your rights and their limits explained.

Individual plan

A treatment, recovery and rehabilitation plan made for you.

Informed consent

Deciding about your treatment with full information.

Refusing treatment

Refusing a treatment, within what the law provides.

Freedom of communication

Communicating by mail, phone and visits.

Complaints and grievances

Filing complaints and grievances without retaliation.

Research

Not taking part in experimental procedures or research without your consent.

Language

Receiving services in a language you understand.

Support people

Asking for support groups or people to take part.

Least restrictive care

Receiving the least intensive, most autonomous level of care that is suitable.

The law also sets out the responsibilities of people receiving services. Full text (Spanish): Law 408-2000.

02Patient's Bill of Rights and Responsibilities (Law 194-2000)

Your responsibilities include giving complete and accurate health information, taking part in and following your treatment plan, paying on time and using the complaint channels. Full text (Spanish): Law 194-2000.

03If you have a complaint

Write to us first at info@cismepr.com or by WhatsApp 787-403-4259: we answer every complaint in writing. You may also go to the agencies on the Laws and regulations page. Filing a complaint will never affect your treatment.

Reviewed October 16, 2026 · Approved October 16, 2026 by Dr. Carlos A. Lado-Cornejo