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Patient Education Materials

Safety Planning

  • A two-sided safety plan that can be used with victims and survivors of family and intimate partner violence. This planning tool describes safety measures to take while both in an abusive relationship and after leaving an abusive relationship. It includes a personalized safety plan that you can fill out with your patients.
  • Exit Instructions:
    Safety instructions to give to patients who are being victimized. Click on whichever language you would like to print. (The resource phone numbers are in English, translations pending.)
    english | spanish | chinese | tagalog | russian | serbian | arabic

    Brochures for Pregnant Patients:
    Download copies of these brochures on pregnancy and IPV for each of your pregnant patients. The brochure helps patients understand the effects of IPV on pregnant women and their children and also list resources for victims of IPV.
    English color, black+white | Spanish | Tagalog | Russian | Chinese (To be released soon)

    Power and Control Wheels
    Power and control wheels are teaching tools that can be used to educate patients and others about power and control issues in relationships.

    Unhealthy Relationship Checklist
    Healthy/Unhealthy Relationship Self-Test checklist (low literacy, gender neutral).

    Developed by LEAP. May be used unaltered without permission as long as you credit LEAP (Look to End Abuse Permanently), c/o Maxine Hall Health Center, 1301 Pierce St., San Francisco, CA 94115 415-292-1305.

  • QUICK LINKS
  • Quick Screening Tool
  • IPV Hotlines
  • Safety Planning
  • Mandatory Reporting

    PATIENT EDUCATION MATERIALS
  • Brochures for Pregnant Women
  • Power and Control Wheels
  • Unhealthy Relationship Checklist








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    NATIONAL DOMESTIC VIOLENCE HOTLINE: 1-800-799-7233

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    LEAP strives to improve the health care response to intimate partner violence.