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ATTACHMENT D2Los Angeles Unified School DistrictSTUDENT HEALTH AND HUMAN SERVICES MY SAFETY PLAN
Students Name: ___
Triggers DOB:___Date:___Warning Signature are certain situations or circumstances
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How to fill out my safety plan bul-26373
How to fill out my safety plan bul-26373
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List down emergency contacts including family members, friends, and mental health professionals.
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Identify triggers, warning signs, and coping strategies for your mental health condition.
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Include a list of medications you are taking, dosages, and healthcare providers.
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Who needs my safety plan bul-26373?
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Individuals with mental health conditions who are at risk of experiencing crises or emergencies.
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Family members and caregivers of individuals with mental health conditions.
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What is my safety plan bul-26373?
Your safety plan bul-26373 is a document outlining procedures to ensure safety in a specific environment.
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You must report information such as emergency contacts, evacuation routes, safety equipment locations, and safety procedures.
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