Forms & Info
Care Advocates will support and encourage you or your loved one
to make your own informed decisions, no matter what your personal
It's important to tell your Patient Care Advocate, as well as your
caregivers and family members what you would like your Patient Care
Advocate to know and be involved in, such as treatment decisions,
changes in your condition, test results, maintaining a written record
of you medications.
may find it helpful for your Patient Care Advocate to be the
spokesperson for your family and make sure your other family members
know about this decision. This will provide a consistent communication
link for your caregivers and can help to minimize confusion and
misunderstandings within your family.
Your caregivers and family members will need to have your Patient Care
Advocate's phone number, and she should have theirs. Your Patient Care
Advocate should also have the numbers for your providers, hospital and
pharmacy, as well as anyone else you may want to contact in the case of
an emergency. You can download a contact
phone list and fill it out for your Patient Care Advocate. You may
also want to print copies of the family
release and contact form to inform your family of your support
choice and provide their contact information to your Patient Care
For more information please call, toll-free: (877) 436-8528 or send
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