parent/guardian’s name : home address: gp …...guardian’s phone number: address: how i...

This is my hospital communication passport:

Name: ________________

** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.

This booklet contains information that nurses, doctors and healthcare workers may need to communicate with me and to help me.

Made by Stacey Braddish - contact: [email protected] with any questions about communication passports

Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports

Parent/Guardian’s Name : ______________________________________

Parent/Guardian’s Number : _____________________________________

Home address: _________________________________________________

GP Name: _____________________________________________________

GP Address: ___________________________________________________

Other professionals caring for me: ______________________________

_______________________________________________________________

_______________________________________________________________

Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passportsFor people with learning disabilities coming to hospital

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This is my hospital communication passport:** If I have to go to hospital this passport needs to come with me **This should be kept at the end of my bed and a copy should be kept in my notes.

Name:

Nickname:

Date of Birth:

Age:

Guardian’s phone number:

Address:

How I communicate:

Family/friends/care:

How I like to be greeted:



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Name: ____________________Allergies: _______________________________________________________

Medications: ___________________________________________________________________________________________________________________

Medical interventions: (How to take my blood / how I take medications etc):

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________________________________________________________________

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________________________________________________________________

________________________________________________________________Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports

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Name: ____________________ Medical interventions continued: (How to take my blood etc):

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________________________________________________________________Made by Stacey Braddish - contact: [email protected] or Twitter: @Stacey_braddish with any questions about communication passports

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Heart problems?

Breathing problems?

Choking Risk?

How I use the toilet:

How I eat:

How I drink:

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Likes:

Dislikes:



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References:Images from:- VIDATAK- Board Maker- Widget health

Hospital communication passport by Stacey Braddish - [email protected] my brother Synan

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References:Images from:- VIDATAK- Board Maker- Widget health

Hospital communication passport by Stacey Braddish - [email protected] my brother Synan

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parent/guardian’s name : home address: gp …...guardian’s phone number: address: how i...

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