Personal Care Plan Worksheet

$0.00

The Personal Care Plan Worksheet is a practical tool that helps individuals and families prepare for future care needs in a structured, proactive way. It guides you through assessing Activities of Daily Living (ADLs), identifying cognitive or mobility challenges, and documenting the level of support you may require now or in the future.

The worksheet walks through preferred care settings—whether aging at home, moving in with family, or transitioning to assisted living or memory care—and prompts you to record caregiver roles, respite plans, and review schedules. It also helps define responsibilities for transportation, meals, medical decisions, home maintenance, and more. Legal authority (such as Powers of Attorney and advance directives), funding sources for care, communication processes, and emergency contacts are all captured in one place.

Together, these sections create a personalized plan that reduces stress, eliminates confusion, and ensures everyone involved in your care understands your wishes and their responsibilities.

The Personal Care Plan Worksheet is a practical tool that helps individuals and families prepare for future care needs in a structured, proactive way. It guides you through assessing Activities of Daily Living (ADLs), identifying cognitive or mobility challenges, and documenting the level of support you may require now or in the future.

The worksheet walks through preferred care settings—whether aging at home, moving in with family, or transitioning to assisted living or memory care—and prompts you to record caregiver roles, respite plans, and review schedules. It also helps define responsibilities for transportation, meals, medical decisions, home maintenance, and more. Legal authority (such as Powers of Attorney and advance directives), funding sources for care, communication processes, and emergency contacts are all captured in one place.

Together, these sections create a personalized plan that reduces stress, eliminates confusion, and ensures everyone involved in your care understands your wishes and their responsibilities.