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