Template library · Client worksheets
Emergency Contacts & Resources Sheet template
Safety & Crisis worksheet — prompts on therapist / clinician name and number; psychiatrist / prescriber name and number; crisis line / text line.
- 8 fields
- Included with MyWellOps
- Edit it, or save your own version
What’s in it
- Therapist / clinician name and numberText
- Psychiatrist / prescriber name and numberText
- Crisis line / text lineText
- Trusted family member or friendText
- Nearest emergency roomText
- Other supports (group, sponsor, faith leader)Text
- Completed byText
- Date completedDate
- Psychiatrist / prescriber name and number:
- Crisis line / text line:
- Trusted family member or friend:
- Nearest emergency room:
- Other supports (group, sponsor, faith leader):
When to use it
Send a worksheet between sessions so the client can practise what you covered, and bring what they noticed to the next appointment.
How it works in MyWellOps
- Choose it from Documents and adjust it if you need to.
- Send it to the client, who completes it in their client portal.
- Their answers are on their record for you to go through together.
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