74 Name of and How to Contact Physician 20 Consideration 14 Participate in Community Activities 53 Unopened Mail 64 Sexuality 47 Choice 13 Appropriate Health Care 9 Manage your Own Finances 21 Dental Services 40 Clean Beds and Linens 3 Private Closet Space 4 Have Visitors 43 Information about Services Available 35 Refuse Medication or Treatment 28 Food Substitutes 71 Freedom from Discrimination 66 Right to Privacy 54 participate in activities 29 Participate in Care Planning 52 Appropriate Exercise 24 Examine Records 48 Married Couples Sharing a Room 70 Right to vote 45 Dignity 74 Name of and How to Contact Physician 20 Consideration 14 Participate in Community Activities 53 Unopened Mail 64 Sexuality 47 Choice 13 Appropriate Health Care 9 Manage your Own Finances 21 Dental Services 40 Clean Beds and Linens 3 Private Closet Space 4 Have Visitors 43 Information about Services Available 35 Refuse Medication or Treatment 28 Food Substitutes 71 Freedom from Discrimination 66 Right to Privacy 54 participate in activities 29 Participate in Care Planning 52 Appropriate Exercise 24 Examine Records 48 Married Couples Sharing a Room 70 Right to vote 45 Dignity
(Print)
T-74
Name of and How to Contact Physician
I-20
Consideration
R-14
Participate in Community Activities
H-
53
Unopened Mail
T-64
Sexuality
H-47
Choice
R-13
Appropriate Health
Care
R-9
Manage your Own Finances
I-21
Dental Services
G-40
Clean Beds and Linens
R-3
Private Closet Space
R-4
Have Visitors
G-
43
Information about Services Available
G-35
Refuse Medication or Treatment
I-28
Food Substitutes
T-71
Freedom from Discrimination
T-
66
Right to Privacy
H-
54
participate in activities
I-
29
Participate in Care Planning
H-52
Appropriate Exercise
I-24
Examine Records
H-
48
Married Couples Sharing a Room
T-
70
Right to vote
G-45
Dignity
