Self- Management Assessment Health and Medical Area of Need: Is this person able to independently If no, describe their overall strengths, functional skills, and abilities. self-manage in this area? Allergies[list]: Yes No N/A Seizures [type]: Yes No N/A Choking Yes No N/A Special Dietary Needs [list]: Yes No N/A Chronic Medical Conditions [list]: Yes No N/A Medical and Dental Appointments, Including Preventative Screenings Yes No Medication Administration Yes No N/A Supports and Outcomes for Health and Medical: Does this person need or want supports in this area? Yes, list in CSSP Addendum No Does this person need or want to set an outcome related to acquiring, retaining, or improving in this area? Yes, list in CSSP Addendum No Personal Safety Area of Need: Is this person able to independently If no, describe their overall strengths, functional skills, and abilities. self-manage in this area?
Self- Management Assessment Health and Medical Area of Need: Is this person able to independently self-manage in this area? If no, describe their overall strengths, functional skills, and abilities. Allergies[list]: Yes No N/A Seizures [type]: Yes No N/A Choking Yes No N/A Special Dietary Needs [list]: Yes No N/A Chronic Medical Conditions [list]: Yes No N/A Medical and Dental Appointments, Including Preventative Screenings Yes No Medication Administration Yes No N/A Supports and Outcomes for Health and Medical: Does this person need or want supports in this area? Yes, list in CSSP Addendum No Does this person need or want to set an outcome related to acquiring, retaining, or improving in this area? Yes, list in CSSP Addendum No Personal Safety Area of Need: Is this person able to independently self-manage in this area? If no, describe their overall strengths, functional skills, and abilities.