Emergency Care Plan Template Page 4

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Regular Home & Community Care Services
Please advise if care arrangements change
Organisation
Service Provided
Contact Name
Telephone
Organisation
Service Provided
Contact Name
Telephone
Organisation
Service Provided
Contact Name
Telephone
Emergency Plan
In an emergency my contacts will:
My emergency financial arrangements are:
Signed
Relationship to person requiring care
Date
WHERE CAN I GET EXTRA COPIES OF THE PLAN?
Extra copies of the Emergency Care Kit are available from
your Commonwealth Respite and Carelink Centre.
You can contact them on 1800 052 222*.
*Free call from local phones, mobile calls at mobile rates

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