© Girlguiding 2015 Personal Care Plan
Registered charity number 306016.
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Use this plan only if a young member has an additional need or requirement that means she needs support with
personal care during unit activities or residential events.
Please note that it is not a requirement to complete the Girlguiding Personal Care Plan for members with
additional needs. If a member has a pre-existing personal care 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 personal care 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
Date of personal care plan Review date
I authorise the Leader in charge, ________________________________________________, to provide the support
suggested below for my child.
Signed (parent/carer) Date
Does your child need any of the following assistance? If ‘Yes’, please suggest ways we can help achieve this.
Sleep/bedtime support No Yes How can we help achieve this?
Support at mealtimes No Yes How can we help achieve this?
Personal Care Plan
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© Girlguiding 2015 Personal Care Plan
Washing/bathing support No Yes How can we help achieve this?
Other toileting/personal support No Yes How can we help achieve this?
Support with dressing and undressing No Yes How can we help achieve this?
Mobility assistance No Yes How can we help achieve this?
Personal awareness assistance No Yes How can we help achieve this?
Any other additional support (please give details) No Yes How can we help achieve this?
Parent/carer contact information
Name Telephone
Address (if different from child’s)
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