Section 504 Notices of Services, Waivers or Consents (Attachment B1)

Section 504 Notices of Services, Waivers or Consents
(Attachment B1)

The regulation implementing Section 504 requires that an agency/facility "that provides notice concerning benefits or services or written material concerning waivers of rights or consent to treatment shall take such steps as are necessary to ensure that qualified disabled persons, including those with impaired sensory or speaking skills, are not denied effective notice because of their disability." (45 C.F.R. §84.52(b))

It is necessary to note each area of the consent, such as:

Medical Consent
Authorization to Dispense Medical Information
Personal Valuables
Financial Agreement
Assignment of Insurance Benefits
Medicare Patient Certification and Payment Request

Note: Materials will be read to vision impaired patients. Sign language interpretation will be provided for hearing impaired patients without charge, as needed.

OCR Mail
Date revised: July 23, 2000