I. Vital Information II. Special Needs and Strategies 0. Informational: Need: Strategy: ... a. Physical - Needs next physical Exam: - Needs next dental Exam: b. Familial: c. Educational d. Social/Bheavioral e. Psychological/Emotional f. Self-harm considerations: III. Overview of Special Issues: - Assessment: - Intermediate Goals - Long Term Goals: - Discharge Plan: - Estimated Length of Stay IV. Detailed Plan to address Other Needs: