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Family / Friend Safety Plan Client s Name Address Phone Number s Email Address Emergency Support/Helper s Name Diagnosis if applicable Primary Care Provider PCP PCP Phone Number PCP Address Behavioral Health BH Provider Counselor Counselor s Phone Number Counselor s Address Crisis Hotline Name Mental Health Advanced Directive Yes or No Location of Directive Designated Advocate legal purposes Allergies Other Health Information or Medical/Medication Notes.
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How to fill out family friend safety plan

How to fill out family friend safety plan
01
Gather information about your family and friends who will participate in the safety plan.
02
Create a detailed contact list including names, phone numbers, and addresses of the family and friends.
03
Identify potential risks and hazards in your surroundings.
04
Develop an emergency communication plan. Determine how you will stay in touch with your family and friends during an emergency.
05
Establish a meeting place in case you need to evacuate your home.
06
Discuss and agree on the roles and responsibilities of each family member and friend in the safety plan.
07
Create a list of emergency supplies and keep them accessible.
08
Make sure everyone is aware of the plan and knows what to do in different emergency situations.
09
Regularly review and update the safety plan as needed.
Who needs family friend safety plan?
01
Families who want to be prepared for emergencies.
02
Individuals living in areas prone to natural disasters.
03
Parents who want to ensure the safety of their children.
04
People who have family or friends with specific safety needs.
05
Those who want to have a support network in times of crisis.
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What is family friend safety plan?
A family friend safety plan is a document outlining the safety measures put in place by a family friend to ensure the well-being of a child or children in their care in the absence of the parent or legal guardian.
Who is required to file family friend safety plan?
Family friends who are designated to care for a child in the absence of a parent or legal guardian are required to file a family friend safety plan.
How to fill out family friend safety plan?
To fill out a family friend safety plan, the family friend must provide information about themselves, the child or children in their care, emergency contact information, medical information, and any safety precautions or procedures they will implement.
What is the purpose of family friend safety plan?
The purpose of a family friend safety plan is to ensure the safety and well-being of a child or children in the care of a family friend in the absence of the parent or legal guardian.
What information must be reported on family friend safety plan?
Information such as the family friend's contact details, the child's medical information, emergency contacts, safety procedures, and any other relevant information must be reported on a family friend safety plan.
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