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U6336 Care Plan Letter · Web viewAre experiencing emotional problems If you do not agree with your...

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<Date> <Member Name> <Member Address> <City State Zip> Dear <Member Name>: At UCare, we are dedicated to improving your health and well-being. Enclosed is the Comprehensive Care Plan that we developed with you on <Date>. Please review the Care Plan carefully. As a reminder, some of the things we discussed at your visit include: Your physical and mental health Ways to reduce falls Health care needs you may have <Topics discussed at visit> <Topics discussed at visit> Don’t forget to contact your care coordinator if you: Have been hospitalized or plan to be hospitalized Have had a fall Have experienced a change in physical health Are experiencing emotional problems If you do not agree with your Care Plan, have questions about it, or have experienced a change in your needs, please call me at <phone number>. If you are hearing impaired, please call the Minnesota Relay at 711 or 1-877-627-3848 (speech-to-speech relay service). Sincerely, <Care Coordinator Name> 500 Stinson Blvd NE, Minneapolis, MN 55413 | 612-676-6500 | fax 612-676-6501 | ucare.org
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Page 1: U6336 Care Plan Letter · Web viewAre experiencing emotional problems If you do not agree with your Care Plan, have questions about it, or have experienced a change in your needs,

<Date>

<Member Name><Member Address><City State Zip>

Dear <Member Name>:

At UCare, we are dedicated to improving your health and well-being. Enclosed is the Comprehensive Care Plan that we developed with you on <Date>. Please review the Care Plan carefully.

As a reminder, some of the things we discussed at your visit include:

Your physical and mental health Ways to reduce falls Health care needs you may have <Topics discussed at visit> <Topics discussed at visit>

Don’t forget to contact your care coordinator if you:

Have been hospitalized or plan to be hospitalized Have had a fall Have experienced a change in physical health Are experiencing emotional problems

If you do not agree with your Care Plan, have questions about it, or have experienced a change in your needs, please call me at <phone number>. If you are hearing impaired, please call the Minnesota Relay at 711 or 1-877-627-3848 (speech-to-speech relay service).

Sincerely,

<Care Coordinator Name><Care Coordinator Job Title><County or Agency Name><Phone Number><E-mail Address>

MSC+ H2456_122716 IA (12272016) U6336B (11/18)

500 Stinson Blvd NE, Minneapolis, MN 55413 | 612-676-6500 | fax 612-676-6501 | ucare.org

Page 2: U6336 Care Plan Letter · Web viewAre experiencing emotional problems If you do not agree with your Care Plan, have questions about it, or have experienced a change in your needs,

500 Stinson Blvd NE, Minneapolis, MN 55413 | 612-676-6500 | fax 612-676-6501 | ucare.org

Page 3: U6336 Care Plan Letter · Web viewAre experiencing emotional problems If you do not agree with your Care Plan, have questions about it, or have experienced a change in your needs,
Page 4: U6336 Care Plan Letter · Web viewAre experiencing emotional problems If you do not agree with your Care Plan, have questions about it, or have experienced a change in your needs,
Page 5: U6336 Care Plan Letter · Web viewAre experiencing emotional problems If you do not agree with your Care Plan, have questions about it, or have experienced a change in your needs,

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