Talk to your nurse or doctor in private To participate or not in ADHC Protection against dis- crimination choose your Provider in PACE network Receive &help create info on Advance Directives Care Kept Private Services promote in- dependence Enrollment reviewed and dis- cussed fully Post the Bill of Rights promote useage Free from Hazardous Procedures To be treated with dignity and respect Fair and timely process to resolve an issue Right to information Right to leave the program Right to appeal and know the process to informed of treatment prior to Right to emergency Service Someone to help you understand information Right to File a Complaint Cared about with sincere interest and concern Free! Refuse Treatment or medications Right to be involved in your Care Plan Receive Care from competent trained staff Use the Telephone if necessary Talk to your nurse or doctor in private To participate or not in ADHC Protection against dis- crimination choose your Provider in PACE network Receive &help create info on Advance Directives Care Kept Private Services promote in- dependence Enrollment reviewed and dis- cussed fully Post the Bill of Rights promote useage Free from Hazardous Procedures To be treated with dignity and respect Fair and timely process to resolve an issue Right to information Right to leave the program Right to appeal and know the process to informed of treatment prior to Right to emergency Service Someone to help you understand information Right to File a Complaint Cared about with sincere interest and concern Free! Refuse Treatment or medications Right to be involved in your Care Plan Receive Care from competent trained staff Use the Telephone if necessary
(Print)
Talk to your nurse or doctor in private
To participate or not in ADHC
Protection against dis-crimination
choose your Provider in PACE network
Receive &help create info on Advance Directives
Care Kept Private
Services promote in-dependence
Enrollment reviewed and dis-cussed fully
Post the Bill of Rights promote useage
Free from Hazardous Procedures
To be treated with dignity and respect
Fair and timely process to resolve an issue
Right to information
Right to leave the program
Right to appeal and know the process to
informed of treatment prior to
Right to emergency Service
Someone to help you understand information
Right to File a Complaint
Cared about with sincere interest and concern
Free!
Refuse Treatment or medications
Right to be involved in your Care Plan
Receive Care from competent trained staff
Use the Telephone if necessary
