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Emergency Plan - Matrix Home Care

Emergency plan Patient / Client Information Emergency Phone Numbers Patient / Client Name Police, Ambulance, Fire Phone # Primary Physician Name 911. Phone #. Street Address Matrix home Care 24-Hour Phone # Pharmacy Name Address: Safety Liaison: Administrator Phone #. City Medical / Respiratory Equipment Emergency Contact Person Name 24-hour Phone #. State: Florida Relationship: Zip Code: Phone #. Telephone # Poison Control Phone # Neighbor/Friend Name 1-800-222-1222. Phone #. Disaster Priority Level (check one): Low Moderate High Reporting Abuse/Neglect Florida law now requires all home health agencies to inform patients and immediate family, if appropriate, of their right to report abusive, neglectful, or exploitative practices.

Emergency Plan Patient / Client Information E mergency Phone Nu bers Patient / Client Name Street Address City Telephone # Police, Ambulance, Fire Phone # Matrix Home Care 24-Hour Phone #

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  Plan, Home, Emergency, Emergency plan

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