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Build Your Own Care Notebook

Below is a list of downloadable forms with which you can build your own Care Notebook. You may download a complete section's documents by clicking on the section's ZIP link, or select specific documents by clicking on the sub-category links below. All Care Notebook forms are made available in both Microsoft Word and Adobe PDF versions for your convenience.

Complete List of Forms Available:


Personal Information (Download ZIP)
   Care Providers
   Insurance Information
   Family Information
   Family Support Resources
   Funding Resources

Pages to Keep Track of Appointments and Care (Download ZIP)
   Appointment Log
   Diet Tracking Form
   Equipment-Supplies
   Growth Tracking Form
   Hospital Stay Tracking Form
   Immunizations
   Information Needed by Emergency Care Providers
   Lab Work-Tests-Procedures
   Make-a-Calendar
   Medical Bill Tracking Form
   Medical-Surgical Appointments
   Medications
   Family and Child Medical History

Personal Notes (Download ZIP)
   Parent and Child Questions for Doctor
   Parent and Child Questions for Setting up Home Care
   rent and Child Questions for Doctor
   rent and Child Questions for Setting up Home Care

Care Needs of My Child-Abilities and Special Needs (Download ZIP)
   Activities of Daily Living
   Care Schedule
   Child's Page - Now and Later
   Communication
   Coping-Stress Tolerance
   Mobility
   Nutrition
   Respiratory
   Rest-Sleep
   Social-Play
   Emergency Plan
   Baby-sitters Guide
   Information for Caregivers-Instructions for Care

Community Health Care-Service Providers (Download ZIP)
   Medical Dental
   Public Health
   Home Care
   Therapists
   Early Intervention Services
   Child Care
   Respite Care
   Pharmacy
   Special Transportation

School Issues (Download ZIP)
   School-Making it work
   Home-School Worksheet
   School Communication Sheet
   Permission for Procedures-Medications at School
   Physical Education Activity Guide
   Insert your Individual Education Plan or 504 Plan
   Transitions-Looking Ahead


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