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Sonja Brownlee, Md, FAAP 1825 Pinion Road, Suite E |
Office Hours 8:30 am - 4:30 pm, Monday through Thursday 8:30 am - 12:00 pm Friday (Staff Only) |
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Copyright 2010, Last Updated 1/2010
The information contained on this web site is not a substitute for direct examination and treatment by a physician. If any of this material is unclear or confusing, or if you have additional questions or concerns, please call the office at 778-6762. Disclaimer:Sonja Brownlee,M.D. cannot endorse all links presented on the website as they may link to unrelated third-party websites.
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Personalized Safety Plan Suggestions for increasing safety in the relationship: I will have important phone numbers available to my children and myself.
I can tell ____________________ and ___________________ about the violence and ask them to call the police if they hear suspicious noises coming from my home. If I leave my home, I can go (list four places): 1. _______________________________________ 2. _________________________________________ 3. _______________________________________ 4. _________________________________________ I can leave extra money, car keys, clothes, and copies of documents with ______________________. If I leave, I will bring: ____Identification ____Divorce papers ____Birth certificates for me and my children ____Lease/rental agreement, house deed ____Social Security cards ____Mortgage payment book, current unpaid bills ____School and medical records ____ Insurance papers ____Money, bankbooks, credit cards ____Address book ____Keys to houses, cars, office ____Pictures, jewelry, items of sentimental value ____Driver's license and registration ____Children's favorite toys and/or blankets ____Medications ____Passport(s), Green Card(s), work permits ____Change of clothes To ensure safety and independence, I can: keep change for phone calls with me at all times, open my own savings account, rehearse my escape route with a support person. Suggestions for increasing safety when the relationship is over: I can: change the locks; install steel/metal doors, a security system, smoke detectors and an outside lighting system. I will inform ___________________ and ____________________ that my partner no longer lives with me and ask them to call the police if s/he is observed near my home or my children. I will tell people who take care of my children the names of those who have permission to pick them up. The people who have permission are: 1. _____________________________________ 2. _____________________________________ 3. _____________________________________ I can tell __________________at work about my situation and ask ___________________to screen my calls. I can avoid stores, banks, and __________________________that I used when living with my battering partner. I can obtain a protective order from __________________________________. I can keep it on or near me at all times as well as leave a copy with __________________________________. If I feel down and ready to return to a potentially abusive situation, I can call _________________________ for support or attend workshops and support groups to gain support and strengthen my relationships with other people. |
