... to help one another
Dear Members and Friends of UUFCC.
The Patient Advocate Committee has been formed so that you will not have to confront medical situations alone. Even if a family member or friend is present, a Patient Advocate can often be of assistance in listening to your concerns and working to communicate them through appropriate channels. On a doctor visit, in a hospital, or during home health care, an extra set of eyes and ears can provide you support. Patient Advocate volunteers will make every effort to maximize your comfort level, enhance communication, and ensure appropriateness of care, all the while maintaining confidentiality.
Chair of the Patient Advocate Committee
Scenarios where a patient advocate might be useful……
10. You need someone to write down your thoughts during a time of medical service.
For a printable copy Click Here Patient Advocate Interest Survey see example below
The Patient Advocates committee is aware that many ot the oongregants of UUFCC live in or visit our area at
Patient Advocates offer a number of services tor people who are alone, without support or who may need extra
Would you be interested in any of the following services? Please Mark YES (X) or NO (X)
| consent and give below my emergency contact infomation to be utilized in the event of a medicalemergency.
YOUR NAME: ___________________________________________
YOUR PHONE #: __________________________
YOUR EMAIL if applicable: __________________________
Primary Emerqencv Contact:
THEIR NAME: ________________________________ Relationship to you: __________________
PHONE NUMBER: ____________________________
CELL PHONE: _______________________________
Secondary Emeroency Contact:
THEIR NAME: _______________________________ Relationship to you: ___________________
PHONE NUMBER: ___________________________
CELL PHONE: ______________________________
Patient Advocates are prepared to assist in the following ways:
1. Being with a person for important doctor visits.
Registry of Patient Advocates, March 2014
RESIDENT ADVOCATES SEASONAL ADVOCATES
Herb Levin (941) 286-7939 (Cell) Chair Lorrie Douglas (734) 846-0448
Tom Deuley (915) 276-1314 Jackie Williamson (734) 846-5323
Dennis Shaw (941) 830-0848
Joan Bollinger (941) 286-7297
Carolyn Kellar (941) 204-8127
If you would like the help of a Patient Advocate, please call someone on this Registry. He or she will discuss your needs with you.
If for whatever reason, one is not in a position to help, another Advocate will be suggested.
You've got a friend