I ordered dispensers of various types, got it shipped really fast... a happy customer.
Note : Image shown for reference purposes only. Actual product appearance may vary. Please read product description for full and accurate details
| Brand | Sage |
|---|---|
| MPN | 3531 |
| Packaging | 100 per pad |
| Size | 8 1/2In x 11In |
This form is used to inform the patient of his/her rights and responsibilities, in writing and orally, in advance of furnishing care during the initial evaluation visit. Areas addressed are respect and confidentiality, financial responsibilities, self-determination rights, complaint process, and the patient's responsibilities.
This form is left with the patient/family and used as a basis to demonstrate that the written requirement to educate/ inform the patient/family about their rights and responsibilities has been met.
This form may also be used for staff orientation to patient rights and responsibilities.
