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My Persoanl Directions (fillable download)

August 2018

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Permission Form


Use this form to provide paid and unpaid caregivers with your personal directions that will help ensure your quality of living in long-term care and health settings. This form is fillable for completing and printing from your computer.




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Senior Medicare Patrols (SMPs) empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud, errors, and abuse through outreach, counseling, and education. This tip sheet provides suggestions on how to outreach to the lesbian, gay, bisexual and transgender communities, in order that they become volunteers in the SMP network. MORE >


See more: Elder Abuse, Social Security / Medicaid / Medicare / Health Care, Aging Providers, LGBT Organizations, LGBT Older Adults