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