By electing these services, I acknowledge and consent to the following:
- The purpose of Tu Nidito services is to provide emotional and social support to my family as we navigate our child’s serious medical condition through play, art, games, structured discussions, and other activities. Tu Nidito services are individualized and designed to benefit all members of my family.
- My family has a right to participate in the development of a plan of care which reflects the psychosocial needs of my family and which will be reviewed twice yearly.
- Tu Nidito services include professional staff as well as trained volunteers.
- In order to receive the full benefit of Tu Nidito services, it is important for me to make my family’s needs and concerns known to my assigned Support Specialist.
- Tu Nidito will protect the confidentiality of all members of my family, except in the case where there is a concern for danger, harm, or risk to self or others.
- Records are released only in accordance with applicable federal or state law that authorizes release or disclosure or with written authorization from my child’s legal representative. There are no apparent risks to my children and family by receiving care from Tu Nidito.
- There is no charge for services received by Tu Nidito.
- In order to better serve my family, it is important for Tu Nidito staff to communicate with my medical team, including physicians, case managers/social workers, nurses, home health agencies, school personnel, and DCS case managers when DCS is involved. I authorize any such entity to disclose all or any part of my child’s records to Tu Nidito and authorize Tu Nidito to share pertinent information with these sources.
- I can discontinue any and all aspects of Tu Nidito services at my discretion.
- My family has a right to services and care regardless of race, religion, gender, or national origin.
- I have been given ample opportunity to ask any and all questions I have concerning Tu Nidito services.
- Grievance Policy - Tu Nidito clients have an opportunity for a fair hearing for grievances arising from the delivery of services including but not limited to ineligibility determination, service reduction, suspension, termination or quality of service. If you have a grievance, please contact Tu Nidito Executive Director, Liz McCusker at 322-9155. Additionally, you may contact Pima County Outside Agency as we receive partial funding for our services from the county.
