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About - Me Questionnaire

Please read this and keep a copy on file

This Personal Communication Passport (PCP) helps you to understand me and how to meet my needs whilst providing my care and treatment and supporting my dignity and safety. Abiding with UN Convention on the Rights of Persons with Disabilities, UN Convention on the Rights of the Child and the Equality Act 2010.

 

Your Details

Let us know how to get back to you.


Next of Kin

Feel free to ask a question or simply leave a comment.


Medical Information

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(Enter the name, reason, type, dosage of medication)

Communication Needs

Feel free to ask a question or simply leave a comment.

(Example: become quiet, start tapping my head, ears, tummy, become vocal, unsettled, start pointing)

Sensory Needs

Feel free to ask a question or simply leave a comment.


Physical Needs

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