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This form is used to document the request of a patient to allow family members and friends to be involved in verbal discussions regarding their health care. Signing this form permits staff within outpatient clinics at the University of Michigan Health System to discuss relevant information with designated individuals.
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How to fill out family and friends list

01
Gather the names of your family members and close friends you want to include.
02
Decide on the format for your list—whether it will be a digital document or handwritten.
03
Write down each person's full name, relationship to you, and any relevant contact information.
04
Organize the list in a way that makes sense to you, such as by family group or friendship circle.
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Review the list for completeness, ensuring you've included everyone important to you.
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Save or keep your list in a safe place where you can access it when needed.

Who needs family and friends list?

01
Individuals planning a major life event, such as a wedding or a reunion.
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People applying for certain benefits or services, like government assistance or insurance.
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Anyone looking to keep track of their support network for emotional or logistical reasons.
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Families preparing for emergencies or natural disasters to ensure communication.
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Students needing contacts for school-related projects or studies.
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A family and friends list is a documented record of individuals who are considered close family members and friends of a person, often required for legal or financial purposes.
Individuals who are involved in certain legal proceedings or financial disclosures are usually required to file a family and friends list.
To fill out a family and friends list, you should provide the names, relationships, and contact information of your family and friends as specified by the requirements of the entity requesting the list.
The purpose of a family and friends list is to provide relevant personal connections that may have a bearing on legal or financial matters.
The information that must be reported typically includes names, relationships, and contact details of the individuals included in the list.
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