• Considerate and respectful care, without discrimination as to race, religion, sex or national origin.

• Clear and current information about your health, medical treatments and carepath plan.

• The name of any doctor, Case Manager or other SOURCE site staff member involved in your care.

• Information necessary to give consent before any procedure and/or treatment, and information on potential alternatives.

• Privacy and confidentially of your treatment and medical records. Information about you will be released only as necessary for providing effective care, and only with your consent.

• Information on how to make a complaint or an appeal about care received through the SOURCE site.

• You have the right to reasonable participation in decisions involving your care.

• You have the right to refuse treatment to the extent allowed by law, and to be informed of the likely medical consequences.

• You have the right to choose a primary care doctor from the SOURCE site’s list of participating physicians.

• You have the right to choose from the SOURCE site’s list of participating providers, for support services indicated by your carepath plan.

To achieve these goals, you must be an active partner in working with your Case Manager and SOURCE doctor. You are responsible to SOURCE for providing clear and complete information regarding your overall health and healthcare, including illnesses/injuries, hospitalizations, medications or anything else that may affect how SOURCE delivers medical and supportive services.

You are responsible for helping to develop and carry out your SOURCE plan by:

• Giving complete and timely information to your Case Manager about your own abilities and those of your family or friends who are caregivers

• Carrying out assigned responsibilities as you agreed with your Case Manager

• Letting your Case Manager know if you or others (including paid providers) are not able or willing to carry out responsibilities as agreed, so the Case Manager can help make other arrangements

• Working with SOURCE staff to solve problems in key areas, identified by your Case Manager as goals during your enrollment in the project

• Using providers (hospitals, home care and home health agencies, etc.) who participate in the SOURCE project

• You are responsible for keeping all medical appointments as part of your SOURCE plan, or for notifying SOURCE if you cannot keep an appointment.

• You are responsible for maintaining a safe and healthy home environment. Your Case Manager may assist you in finding help with home repairs or in moving to a new home, if necessary.