SAMPLE AFH NEGOTIATED CARE PLAN - Wa

Independent Assistance Dependent Special diet/supplements: Eating habits . Food allergies Preferences/equipment CARE AND SERVICES RESIDENT STRENGTHS/WHAT RESIDENT PREFERS TO DO INDEPENDENTLY WHAT PROVIDER/CAREGIVER/SUPPORT PERSON DOES/WHEN & HOW TOILETING/CONTINENCE ISSUES. Independent Assistance Dependent ................
................