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