Fair andtimelyprocess toresolve anissueTo betreated withdignity andrespectUse theTelephoneifnecessaryPost the Billof RightspromoteuseageRight toFile aComplaintTalk toyour nurseor doctorin privateinformedoftreatmentprior toRight toleave theprogramRefuseTreatmentormedicationsReceiveCare fromcompetenttrained staffProtectionagainstdis-criminationSomeoneto help youunderstandinformationCareKeptPrivateRight toinformationchoose yourProvider inPACEnetworkReceive&help createinfo onAdvanceDirectivesCared aboutwith sincereinterest andconcernFree!Right toappeal andknow theprocess toRight to beinvolved inyour CarePlanRight toemergencyServiceFree fromHazardousProceduresEnrollmentreviewedand dis-cussed fullyServicespromote in-dependenceToparticipateor not inADHCFair andtimelyprocess toresolve anissueTo betreated withdignity andrespectUse theTelephoneifnecessaryPost the Billof RightspromoteuseageRight toFile aComplaintTalk toyour nurseor doctorin privateinformedoftreatmentprior toRight toleave theprogramRefuseTreatmentormedicationsReceiveCare fromcompetenttrained staffProtectionagainstdis-criminationSomeoneto help youunderstandinformationCareKeptPrivateRight toinformationchoose yourProvider inPACEnetworkReceive&help createinfo onAdvanceDirectivesCared aboutwith sincereinterest andconcernFree!Right toappeal andknow theprocess toRight to beinvolved inyour CarePlanRight toemergencyServiceFree fromHazardousProceduresEnrollmentreviewedand dis-cussed fullyServicespromote in-dependenceToparticipateor 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. Fair and timely process to resolve an issue
  2. To be treated with dignity and respect
  3. Use the Telephone if necessary
  4. Post the Bill of Rights promote useage
  5. Right to File a Complaint
  6. Talk to your nurse or doctor in private
  7. informed of treatment prior to
  8. Right to leave the program
  9. Refuse Treatment or medications
  10. Receive Care from competent trained staff
  11. Protection against dis-crimination
  12. Someone to help you understand information
  13. Care Kept Private
  14. Right to information
  15. choose your Provider in PACE network
  16. Receive &help create info on Advance Directives
  17. Cared about with sincere interest and concern
  18. Free!
  19. Right to appeal and know the process to
  20. Right to be involved in your Care Plan
  21. Right to emergency Service
  22. Free from Hazardous Procedures
  23. Enrollment reviewed and dis-cussed fully
  24. Services promote in-dependence
  25. To participate or not in ADHC