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