Author: User

ME!
Name here

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ALL ABOUT ME!
I’m most proud of:
My dreams for my future:

Important People
(insert their pictures)

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ALL ABOUT ME!
Who I can count on/special people to me
Who I can talk to in tough times
Who I share successes with
Who I am closest to
What you need to know about these
relationships
How I need you to help me stay in contact with these people
Other friends that are important to me:
What you need to know about when I have visitors:
How I like to remember people that are close to me:

Safe & Secure
(Insert picture above)

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ALL ABOUT ME!
To feel SAFE, I:
Want you to know I am concerned about
Where /when I feel most safe
Where and when I do not feel safe
What I’d like your help with:
Please also see my IS4R
Please also see my IS4R

My health

This is a good place to briefly type in something very important to the person, a favorite quote of theirs, etc...

ALL ABOUT ME!
To me best possible health is:
To stay healthy I:
I prefer to be involved with my healthcare by:
How you will know when I do not feel well:
Concerns I have about my health:
How you can help me:
My thoughts on taking medications that have been prescribed by me:
Please also see my IS4R, Physical, Physician Orders,
Medication Administration Information
Please also see my IS4R

My RIGHTS

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ALL ABOUT ME!
Rights that are important to me:
How you can help me exercise these rights:
Rights I would like to learn more about:
How you can help me learn about those rights:

RESPECT

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ALL ABOUT ME!
What makes me unique:
What you need to know about my preferred schedule/routines:
Everyone needs to be heard. How you can show me that you are listening to me:
Privacy Please. What you need to know about my preferences on privacy:
To really understand /something or learn new things, I need:

BELONGING & COMMUNITY

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ALL ABOUT ME!
I am a member of:
I volunteer for:
How you can support me to continue to be part of these things:
How you can help me explore what else I might like to be involved with:
I like to go to:
How you can help me have new experiences in my neighborhood:

HOME

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ALL ABOUT ME!
Home is :
Where I currently live:
My routine at home is:
When I have free time at home I:
When I want to be alone in my house I:
My dream home is:

WORK

This is a good place to briefly type in something very important to the person, a favorite quote of theirs, etc...

ALL ABOUT ME!
I currently work at:
How you can support me to be successful at my job:
My dream job is:

MORE ABOUT WHAT I LIKE!

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ALL ABOUT ME!
What else you need to know about things I like:
And, some things you need to know that I DO NOT like:

2020: What I CHOOSE TO ACCOMPLISH

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ALL ABOUT ME!
This year, I want to achieve: