Right toinformationRight toappeal andknow theprocess toRight toleave theprogramEnrollmentreviewedand dis-cussed fullyCareKeptPrivateReceiveCare fromcompetenttrained staffRight to beinvolved inyour CarePlanTo betreated withdignity andrespectServicespromote in-dependenceFree fromHazardousProceduresFair andtimelyprocess toresolve anissueRight toemergencyServiceRight toFile aComplaintSomeoneto help youunderstandinformationRefuseTreatmentormedicationsFree!Receive&help createinfo onAdvanceDirectivesProtectionagainstdis-criminationinformedoftreatmentprior toUse theTelephoneifnecessaryCared aboutwith sincereinterest andconcernPost the Billof RightspromoteuseageTalk toyour nurseor doctorin privatechoose yourProvider inPACEnetworkToparticipateor not inADHCRight toinformationRight toappeal andknow theprocess toRight toleave theprogramEnrollmentreviewedand dis-cussed fullyCareKeptPrivateReceiveCare fromcompetenttrained staffRight to beinvolved inyour CarePlanTo betreated withdignity andrespectServicespromote in-dependenceFree fromHazardousProceduresFair andtimelyprocess toresolve anissueRight toemergencyServiceRight toFile aComplaintSomeoneto help youunderstandinformationRefuseTreatmentormedicationsFree!Receive&help createinfo onAdvanceDirectivesProtectionagainstdis-criminationinformedoftreatmentprior toUse theTelephoneifnecessaryCared aboutwith sincereinterest andconcernPost the Billof RightspromoteuseageTalk toyour nurseor doctorin privatechoose yourProvider inPACEnetworkToparticipateor not inADHC

Bill of Rights - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Right to information
  2. Right to appeal and know the process to
  3. Right to leave the program
  4. Enrollment reviewed and dis-cussed fully
  5. Care Kept Private
  6. Receive Care from competent trained staff
  7. Right to be involved in your Care Plan
  8. To be treated with dignity and respect
  9. Services promote in-dependence
  10. Free from Hazardous Procedures
  11. Fair and timely process to resolve an issue
  12. Right to emergency Service
  13. Right to File a Complaint
  14. Someone to help you understand information
  15. Refuse Treatment or medications
  16. Free!
  17. Receive &help create info on Advance Directives
  18. Protection against dis-crimination
  19. informed of treatment prior to
  20. Use the Telephone if necessary
  21. Cared about with sincere interest and concern
  22. Post the Bill of Rights promote useage
  23. Talk to your nurse or doctor in private
  24. choose your Provider in PACE network
  25. To participate or not in ADHC