This chapter describes the rights of patients transported or treated by commercial ambulance services. A commercial ambulance service shall provide each patient: Considerate and respectful care; Information from the commercial ambulance service necessary in order to give informed consent for transport or treatment, or both; The opportunity to refuse transport or treatment when the patient is apparently competent to do so; Reasonable privacy concerning a patient's transportation and care; Confidentiality of all communications and records relating to patient transportation and care except to the extent otherwise required by law; Reasonable response to a request for services once the commercial ambulance service is engaged to provide service; Service that is within reasonable limits of the scheduled pickup and delivery times; Reasonable continuity of care once the commercial ambulance service is engaged to provide service; An opportunity to examine and receive an explanation of the patient's bill; An environment in the commercial ambulance free from recognized hazards and unreasonable annoyances including but not limited to: Smoking, Loud radio, and Loud conversation by the crew; and Information that commercial ambulance services operating in Maryland are regulated by the Maryland Institute for Emergency Medical Services Systems. Education Article, §13-515, Annotated Code of Maryland Effective date: October 12, 1992 (19:20 Md. R. 1816) Regulation .06A amended as an emergency provision effective January 6, 1997 (24:2 Md. R. 114); amended permanently effective July 7, 1997 (24:10 Md. R. 711) Chapter recodified from COMAR 14.22.02 to COMAR 30.09.02, August, 1997 Regulations .01—.06, Eligibility and Application, repealed effective January 10, 2000 (26:27 Md. R. 2017) Regulations .01—.02, Patient Rights, adopted effective January 10, 2000 (26:27 Md. R. 2017)