“Notice of My Healthcare Rights” from INSILC

Indiana Statewide Independent Living Council has created a document called "Notice of My Healthcare Rights".  This is a form that our peers with disabilities, including older adults with conditions of aging and our peers with disabilities with limited English proficiency, can use when seeking or receiving healthcare. The second page of the document contains contact information for federal, state and local agencies and organizations that are available to assist you with additional resources, referrals and legal and advocacy efforts if your feel as though your rights have been or are being violated. To meet various accessibility needs of our disability community, this document/form is provided on our website at https://www.insilc.org/covid-19/ in English and Spanish, in PDF and plain text, in standard and large print, and in easy-to read, plain language. The hope is that this document will help inform, support and empower you if you need to seek and receive healthcare during this trying time.  

If you believe your rights as someone with disabilities have been violated as a result of unlawful policies/practices of healthcare rationing or denial of reasonable accommodations or you believe you have a family member with disabilities who’s rights have been violated, please reach out to INSILC to share your story or experience and seek additional direction/guidance at info@insilc.org.

To file an official complaint or report a disability-related rights violation, please contact Indiana Disability Rights at 1-800-622-4865 or info@indianadisabilityrights.org.

Notice of My Healthcare Rights Form FINAL by Family Voices Indiana on Scribd

Indiana Statewide Independent Living Council (INSILC) is a 501c3 nonprofit organization and governor-appointed council, independent and autonomous from the state. INSILC is led and directed by a majority of diverse Hoosier leaders with disabilities. The Council addresses needs and concerns of the disability community ensuring no decisions that impact us are made without our input and direction. INSILC acts as the administrative body for the Indiana Independent Living Network providing oversight of the Indiana State Plan for Independent Living (SPIL) and the coordination of services with public and private entities to improve services provided to its peers with disabilities. INSILC use its platform to advocate for meaningful change within the disability community and provide opportunities to empower its peers with disabilities to #BeTheVoice to lead and control their own lives.