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Support Plan Form

Support Plan & Care Preferences

Use this form to turn intake details into a practical support plan. Focus on routines, comfort, communication, independence, and what helps the person feel safe, respected, and at home.

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This is a working plan for support. It can be updated as routines, preferences, and family needs change.

Person-centered plan
1

Plan basics

Identify who this plan is for and who should be contacted about updates.

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2

Communication style

How should support feel in conversation, reminders, and daily interactions?

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3

Daily rhythm and routines

Capture the normal flow of the day so support feels familiar instead of disruptive.

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4

Independence and support style

Define where to help, where to step back, and how to support dignity.

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5

Comfort, respect, and calming supports

Note the details that help the person feel safe, settled, and respected.

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6

Meaningful activities and interests

Support should include moments of connection, purpose, and everyday joy.

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7

Home and household support preferences

Clarify household help, boundaries, and how the home should be respected.

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8

Safety, mobility, and home awareness

This is not a medical assessment. Use it for practical awareness and support planning.

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Reminder: Colorado Homestead Care provides non-medical support. Emergency, medical, or clinical concerns should be directed to the appropriate medical provider or emergency service.
9

Transportation and outings

Use this for planning. Formal transportation authorization should be completed separately before rides or outings begin.

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10

Family updates and communication

Clarify who needs updates and what kind of information is helpful.

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11

First-week priorities and next steps

End with a clear starting point for the first few visits.

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Submitting this form saves the typed support plan details to the family record so the plan can be reviewed and updated without handwritten notes.

Colorado Homestead Care · Keeping Families Together at Home · 719-299-0851 · care@coloradohomesteadcare.com