SafetyCulture Staff

Risk Management Plan - Mental Health

Healthcare practitioners can use this template to prepare a risk management plan for a patient. Identify mental health related risk factors and document actions to minimize risks and desired outcomes. Agree the risk management plan with the patient and get sign-off from both patient and practitioner.

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Use this Template

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Title Page

Conducted on
Patient name
Patient DOB
Prepared by

Risk Management Plan

Add an identified risk factor
Enter risk factor identified
Risk rating level
Actions identified to minimize risks
Desired outcomes

Completion

Patient signature
Practitioner signature

SafetyCulture Staff

Risk Management Plan - Mental Health

Use this Template

Print as PDF

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.