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Client’s Rights / Responsibilities
& Privacy Notice

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As a client of our agency, we want you to fully understand your rights and responsibilities. We urge you to read the following information so that we may have an enjoyable and productive relationship. If you have any questions or concerns, call us at 508-949-6640 or 1-800-286-6640.

You Have The Right:

1. To receive care management without discrimination based on age, disability, gender, race, religion, sexual orientation, or source of payment.

2. To be treated with courtesy and respect and to be assured of respect for your property.

3. To be served by individuals who are competent and properly trained.

4. To be fully informed in writing of:

a. your proposed service plan, including the name of the contracted provider agency and the amount of service
to be provided.

b. any changes that will be due through the Home Care
cost sharing program.

c. the procedures to follow if you feel that your rights
have been violated.

5. To be a participant with Tri-Valley staff in the development and
updating of your service plan.

6. To refuse all or part of your service plan.

7. To be assured confidential treatment of personal, financial, and
medical information, and to approve OR refuse release of this
information to any individuals outside of Tri-Valley, except as
required by law or by contract.

8. To voice grievances regarding care management policies free from reprisal by Tri-Valley.

You Have The Responsibility:

1. To be home at the mutually agreed upon time to meet with your
care manager. Periodic visits are necessary to evaluate your
ongoing service needs.

2. To be home at the mutually agreed upon time to allow direct care workers to carry out their duties. Direct care workers are authorized to do specific tasks in accordance with your service plan.

3. To communicate with your care manager when you can anticipate that you will not be home to receive services.

4. To be prompt with monthly co-payments, and to notify your care manager if you are having financial difficulties.

5. To provide accurate and complete information to care managers.

6. To be honest in discussing your home care needs. The care manager must ask you some personal questions regarding your health status in order to determine your continued eligibility for services and develop the most appropriate service plan.

7. To notify your care manager if services are not delivered as stated in your service plan.

8. To treat the Tri-Valley staff with courtesy and respect.


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Tri-Valley Inc. | 10 Mill St., Dudley, MA 01571 | info@tves.org