© Girlguiding 2015 General Healthcare Plan
Registered charity number 306016.
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Use this plan only if a medical condition limits a young member’s ability to join in normal unit activities or she has
a medical condition which makes an emergency likely during unit activities.
Please note that it is not a requirement to complete the Girlguiding Healthcare Plan for a member with a medical
condition. If a member has a pre-existing healthcare plan this can be used in place of a Girlguiding plan. This
should be used to facilitate a discussion with the parents about how best to support the young person.
Complete this plan together with the parent/carer and young person (if appropriate). Use it in addition to the
relevant Girlguiding forms such as Starting Rainbows/Brownies/Guides/The Senior Section, Information and Consent
for Event/Activity, and Health Information. This plan is designed to ensure you have sufficient information to manage
a young person’s health condition during meetings, on outings, at residential events and so on. It is important that
the plan is reviewed regularly to ensure it is up to date. If you feel you require further information, training or
advice, please contact your Commissioner or Country/Region Adviser for members with additional needs.
Name Date of birth
Address
Medical condition(s)
Date of healthcare plan Review date
Contact information
Name
Relationship Telephone
Name
Relationship Telephone
Clinic/Hospital/GP contact (consultant/nurse specialist/ward) if applicable
Name Telephone
Name Telephone
GP Telephone
General Healthcare Plan
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