Patient Guide Solutions - Standard Guide Sample

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Before You Leave Planning Ahead

Questions to Ask 1. Who can I call right after I leave the hospital if I have questions or concerns about my condition or treatment?_ ________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 2. Has my follow-up appointment been scheduled? With who? Do I have a ride there?___________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 3. What are key warning signs I need to watch out for? Who do I call if they happen?__________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 4. What special instructions do I need (wound care, injections, new equipment, etc.)?________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 5. What kinds of activities and foods are limited? For how long?_ ____________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 6. Who will provide personal, home, or healthcare services I may need?______ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 7. Who can help me if I have concerns about medical costs?_ _______________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Need Medical Equipment or Supplies? Medicare may cover the cost of some durable medical equipment (walker, wheelchair, hospital bed, oxygen, etc.) if it is medically necessary and comes from an approved supplier. To find suppliers in your area, call 1-800-MEDICARE (1-800-633-4227) Visit medicare.gov/medical- Not Ready to Leave? You have the right to appeal your discharge if you don’t agree that you are ready to leave the hospital. Speak with your doctor or nurse, and share your concerns. You may also need to reach out to Medicare, Medicaid, or your insurance company.

equipment-suppliers or scan the QR code.

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