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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Title Page
Conducted on
Patient name
Patient DOB
Prepared by
Add an identified risk factor
Enter risk factor identified
Risk rating level
Actions identified to minimize risks
Desired outcomes
Patient signature
Practitioner signature
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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