Planning Ahead - Florida Developmental Disabilities Council

List relatives who are emotionally closest to the person:List other relatives who know and care about the family member:NAME ADDRESS PHONE NUMBER RELATIONSHIPList special friends who are well known and liked by the person:NAME ADDRESS PHONE NUMBERRELATIONSHIP(Personal, coworker,neighbor,other)LENGTHOF RE-LATION-SHIP(YEARS)The following individual(s) has at times been an advocate helping get needed services and supports: (Identifywith * if named official client advocate by the Developmental Disabilities Program.)NAME ADDRESS PHONE NUMBERRELATIONSHIP(Personal, co-worker,neighbor, other)The person has _______ has not ________ learned self-advocacy skills.HAS A CIRCLE OF FRIENDS (ORGANIZED SOCIAL GROUP): YES NOContact Person forCircle of FriendsName Address Phone NumberFrequency ofMeetings:Weekly Monthly OtherSection 2, The Personal Information Section59