Safety PlanTo be completed when there is a threat of harm to self or others or if the clients is being threatened. Name * First Name Last Name Email * Phone * (###) ### #### Counselor Name * First Name Last Name Is there an active plan for self-harm or harm of others? * Yes No Warning Signs * Coping Strategies * Distractions * Support People and Contact Information * Safety Steps Taken? * 988 - Suicide Hotline Contact Emergency Contact 911/Local Law Enforcement Director of Counseling notified Steps to provide a safe environment? * Thank you!