Clemens Health | Community participation brief
Updated 2026-10-05 | (651) 354-1196

Download this editable worksheet, add your notes, and bring it to the relevant planning conversation. Leave unknown details blank and identify who can confirm them.

Chosen activity
Where does the person want to go, and what do they want to do there?
Your notes: ________________________________________

Participation preference
How much company or assistance do they want during the activity?
Your notes: ________________________________________

Access and timing
What needs checking with the venue before setting a date?
Your notes: ________________________________________

Travel and expenses
Who will confirm transport, fares, entry costs and payment responsibility?
Your notes: ________________________________________

Alternative plan
What would the person prefer if the activity is cancelled or they want to leave?
Your notes: ________________________________________

Illustrative example
A person wants to attend a library discussion group. Their goal is joining the conversation, not merely arriving at the building. The team asks about introductions, a quieter seating option and the return trip, then confirms which assistance fits the plan.

Next step
Use the brief to discuss service fit and practical arrangements with the provider. Ask the person to approve the activity choice before a booking is made.

This is an optional discussion worksheet, not an official assessment, authorization, service plan, or emergency plan. Keep completed copies private and share through an agreed channel.