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Domestic Violence: Checklist of Things to Take When You Leave

Overview

If you want to save this information but don't think it is safe to take it home, see if a trusted friend can keep it for you. Plan ahead. Know who you can call for help, and memorize the phone number. Be careful online too. Your online activity may be seen by others. Do not use your personal computer or device to read about this topic. Use a safe computer, such as one at work, a friend's home, or a library.

Here are some helpful items to get together when you are planning on leaving an abusive situation. Keep these items with someone you trust until you are ready to leave or in case you need to leave suddenly. If you have children, take them. And take your pets, too, if possible.

Checklist for preparing to leave an abusive situation

Things to take

Examples

Identification for yourself and your children

  • Birth certificates
  • Social Security cards (or numbers written on paper if you can't find the cards)
  • Driver's license
  • Photo identification or passport
  • Welfare identification
  • Green card

Important personal papers

  • Marriage certificate
  • Divorce papers
  • Custody orders
  • Legal protection or restraining orders
  • Health insurance papers and medical cards
  • Medical records for all family members
  • Children's school records
  • Investment papers/records and account numbers
  • Work permits
  • Immigration papers
  • Rental agreement/lease or deed to your home
  • Car title, registration, and insurance information
  • Records of police reports you have filed, or other evidence of abuse

Funds

  • Cash
  • Credit cards
  • ATM card
  • Checkbook and bankbook (with deposit slips)

Keys

  • Home
  • Car
  • Safety deposit box or post office box

A way to communicate

  • Contact information for friends or relatives
  • Cell phone
  • Personal laptop computer

Medicines

  • At least 1 month's supply for all medicines you and your children are taking, as well as a copy of the prescriptions

A way to get by

  • Jewelry or small objects you can sell, if you run out of money or stop having access to your accounts

Things to help you cope

  • Pictures
  • Keepsakes
  • Children's small toys or books

Credits

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff
Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Current as of: July 31, 2024

Author: Ignite Healthwise, LLC Staff

Clinical Review Board
All Healthwise education is reviewed by a team that includes physicians, nurses, advanced practitioners, registered dieticians, and other healthcare professionals.

Dear patient

I am excited to announce that I will be relocating my practice to Houston Methodist DeBakey Cardiology Associates. Starting November 4, 2024, my new address will be:

Houston Methodist DeBakey Cardiology Associates
6550 Fannin St.
Smith Tower, Suite 1901
Houston, TX 77030

Please note that my phone number and fax number will also change to the following:
24-Hour Telephone: 713-441-1100
Fax: 713-790-2643
Clinical Support Telephone (M-F, 8-5): 713-441-3515

I am excited about caring for you in my new office and hope you will make the transition with me. I will also continue to refill your medications as I have in the past. To assist, please provide your pharmacy with my new contact information.

Please consider checking your prescription refills to verify that you have enough medication on hand to last you until your next visit. Please note that your medical records will remain at my former office until you authorize their transfer. If you choose for me to continue providing your medical care, please complete and sign the enclosed “Authorization for Release of Medical Records” form and fax it to 713-790-2643. Once we receive your authorization, we will be happy to process the request for you.

Thank you for entrusting me with your medical care. My new team and I are dedicated to making this transition as seamless as possible. For help scheduling an appointment and transitioning your care, please call my new office number above.

I look forward to continuing your care at my new location.

Sincerely,
Gopi A. Shah, MD

Dear patient

Dr. Albert Raizner, Dr. Michael Raizner, and Dr. Mohamed El-Beheary are excited to announce that our practice, Houston Cardiovascular Associates, will merge with Houston Cardiovascular Associates on November 1, 2024.

Our new offices are similarly located in Houston, near the Texas Medical Center and in Sugar Land. Our in-hospital care will continue at Houston Methodist Hospital in the Texas Medical Center and Houston Methodist Sugar Land Hospital. Importantly, our new offices expand our services with state-of-the-art equipment and amenities. Our core values will always be, as they began over 40 years ago when Dr. Albert Raizner founded HCA:

Integrity – Compassion – Accountability

Our new address and contact information are:

Your medical records are confidential and remain available at our new locations. We consider it a privilege to serve as your cardiologists and look forward to your continuing with us. However, should you desire to transfer to another physician, you may request a copy of your records by contacting us at our new addresses and phone numbers listed above.

We thank you for your trust and loyalty. As always, we will continue to be here to take care of you. Please do not hesitate to contact us if you have any questions or concerns.

Sincerely,

Dr. Albert Raizner,
Dr. Michael Raizner,
Dr. Mohamed El-Beheary