Crisis Plan statement (optional)
You can help ensure that your crisis plan will be followed by signing it in
the presence of two witnesses. It will further increase its potential for
use if you identify your supporters and name people who are prepared to
back up your needs and preferences.
I
developed this plan on
(date)
With the help of:
Signed
Date
Witness
Date
Witness
Date
This plan takes over from any with an earlier date
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