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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. This abuse may be physical, mental, emotional, or financial in nature.

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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