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Page 1: Www.  My Health Action Plan Date: Version:

www.haringey.gov.uk

My Health Action Plan

Date: Version:

Page 2: Www.  My Health Action Plan Date: Version:

www.haringey.gov.uk

My Health Needs and what can go wrong

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www.haringey.gov.uk

To stay healthy I need ...

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www.haringey.gov.uk

To make my health better I need …

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www.haringey.gov.uk

To do all this I need …

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www.haringey.gov.uk

Go Ahead1. The following people

can look at my Health Action Plan and talk about it with me:---

2. My Health Action Plan should be kept in a safe place/ locked cupboard & a copy should be kept by my GP.

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Go Ahead3. Please update my

Health Action Plan with me on a regular basis.

4. The things I want have been put in my Health Action Plan.

Sign: Name: Date:


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