Wellness Recovery Action Plan Personal Workbook Page 15
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25Part 3. Supporters
List those people you want to take over for you when the symptoms you
listed above are obvious. They can be family members, friends or health
care professionals. You may want to name some people for certain tasks
like taking care of the children or paying the bills and others for tasks
like staying with you and taking you to health care appointments.
These are my supporters:
Name
Connection/role
Phone number
Name
Connection/role
Phone number
Name
Connection/role
Phone number
Name
Connection/role
Phone number
Name
Connection/role
Phone number
There may be health care professionals or family members that have
made decisions that were not according to your wishes in the past. They
could inadvertently get involved if you do not include the following:
do not want
I
the following people involved in any way in my care or
treatment:
Name
Why you do not want them involved (optional)
Name
Why you do not want them involved (optional)
15
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