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My Care Dashboard
Payer--
Authorized Hours/Week--
Next Visit--
Agency Phone844-444-7493 Ext 2
Heather Garlock β PASSPORT
Status: Active
Assignment Date: April 9 2026
Auth Hours/Week: 49
DHEO Contact: Jolene Kikta | jlkikta@dheo.org | 330-505-2333
My Care Plan
Services I receive: Personal care, medication management, light housekeeping.
Goals: Maintain independence, improve mobility.
Emergency Contacts: Family member (330) 555-0123
Physician: Dr. Smith | (330) 555-0456
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My Schedule
| Date | Time | Caregiver | Service | Status |
|---|---|---|---|---|
| Apr 10 | 9:00 AM | Maria S. | Personal Care | Completed |
| Apr 11 | 9:00 AM | Maria S. | Personal Care | Scheduled |
| Apr 12 | 9:00 AM | Maria S. | Personal Care | Scheduled |
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My Documents
Client Rights (PASSPORT): Available
Emergency Plan: Available
Consent Forms: Status - Signed
HIPAA Notice: Available
State-Specific: PASSPORT waiver terms
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Contact My Agency
Agency Phone: 844-444-7493 Ext 2
24hr Response Time
After Hours Protocol: Leave message, we respond within 2 hours
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My Rights (EN)
PASSPORT clients have rights under OAC 173-39 including choice of provider, privacy, and complaint procedures.
DODD clients have rights under OAC 5123 including person-centered planning and due process.
Medicare clients have rights including advance directives and complaint resolution.
My Rights (ES)
Los clientes de PASSPORT tienen derechos bajo OAC 173-39 incluyendo elecciΓ³n de proveedor, privacidad y procedimientos de quejas.
Los clientes de DODD tienen derechos bajo OAC 5123 incluyendo planificaciΓ³n centrada en la persona y debido proceso.
Los clientes de Medicare tienen derechos incluyendo directivas anticipadas y resoluciΓ³n de quejas.