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The Story of. Date:_________________. Personal Profile Frames. Personal Profile Table of Contents Personal Profile Meeting: Who is here?.......................……….…...3 What is important to me?…..............................................………....4
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The Story of Date:_________________ Personal Profile Frames Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
Personal Profile Table of Contents Personal Profile Meeting: Who is here?.......................……….…...3 What is important to me?…..............................................………....4 Who are the people in my life?........................................……….....5 Where do I go in the community?…..............................……….......6 What is my life story?.....................…….........................………......7 What is my current health?..................….......................……….......8 What are my daily routines?...................…..................………….....9 What choices do I get to make?.................…..................………......10 What gains and loses respect for me?...........……..........……….......11 What works for me and does not work for me?…...........…………..12 What are our hopes and fears?…………………..……(Optional)…13 What are the barriers and opportunities?……..………(Optional)…14 What are the major themes?..............…..........…..….......…………..15 What do the team/others need to know/do to support me?…………16 What additional things should we know and do?…...…………....…17 What are the primary ways that I communicate?…....(Optional)..…18 What are our short term goals for the future?…. …….(Optional)..…19 To Do List………………………………..………..…(Optional)..…20 Administrative Appendix…………………………….(Optional) Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
Personal Profile Meeting:Who is here? Personal Profile and Initial Short Term Goals – Valid for 60 days pending PATH Place:_________________________________________ Date:_________________ Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What is important to me? Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
Family Agency Who are the people in my life? Friends Community Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
Where do I go in the community? Home School or Day Program Work Community Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What is my life story? Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What is my current health? - + Medications Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What are my daily routines? Weekday Weekend Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What choices do I get to make? Me Others Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What gains respect for me? / What loses respect for me? Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What works for me & needs to be maintained? What does not work for me & needs to be changed? Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What are our hopes and fears? Hopes Fears Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What are the barriers and opportunities? Barriers Opportunities Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What are the major themes? Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What do the team and others need to know and do to support me? Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What additional things should we know and do? • To help me stay healthy? • To help me stay safe? • To help me with communication? • To help with other things? Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
What are our short term goals for the future? Personal Profile Meeting (For use when Personal PATH meeting is scheduled later) Include Timeframe & Responsibility Information Home School or Day Program Work Community Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11
To Do List ON = Opportunity Number CO = Category of Opportunity L = Learning P = Participation S = Support Name of Consumer: Name of Facilitator: Date of Plan: Personal Profile Frames: MS PowerPoint Edition 2-09-05; Reviewed 1-11-11