□ □ Does your child take any regular medication? Yes No If yes please complete attached Treatment Sheet’ ‘Client □ □ Does your child have a PRN/emergency dose of any medication prescribed? Yes No If yes please complete attached Treatment Sheet’ ‘Client What immunizations has your received? □ Hepatitis B No □ Chicken Pox No □ Triple Antigen No □ Measles/Mumps/Rubella No □ Meningococcal C No □ Tetanus No date: / / Other: ___________________________________________________________ MOBILITY TRANSFERS SHOWER____________________________________________________________________ WHEELCHAIR_________________________________________________________________ HEARING & VISION Additional information: ___________________________________________________________________________
Does your child take any regular medication? □ Yes □ No If yes please complete attached ‘Client Treatment Sheet’ Does your child have a PRN/emergency dose of any medication prescribed? □ Yes □ No If yes please complete attached ‘Client Treatment Sheet’ What immunizations has your received? Hepatitis B □ No Chicken Pox □ No Triple Antigen □ No Measles/Mumps/Rubella □ No Meningococcal C □ No Tetanus □ No date: / / Other: ___________________________________________________________ MOBILITY TRANSFERS SHOWER____________________________________________________________________ WHEELCHAIR_________________________________________________________________ HEARING & VISION Additional information: ___________________________________________________________________________
Person%20Centred%20%20Plan%20Feb%202017.docx