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Build Your Own Care Notebook

What is a Care Notebook?

The Care Notebook has multiple uses. A major role of this notebook is to help parents/caregivers maintain an ongoing record of their child's care, services, providers, and notes. This notebook is a great tool in empowering families to become the experts on their child's care. It is also a way to maintain the lines of communication between the many providers and services that help care for a child and their family.
Health professionals recommend that parents/ caregivers bring this notebook to all medical appointments, therapies, care conferences, on vacations, etc. Health professionals can encourage the use of these notebook by either having them available at the first office visit, upon discharge from the hospital or in the waiting room on a resource table. This notebook should be a team responsibility. Office staff should offer families assistance in filling out the various forms. Medical offices can copy visits, check ups, immunization records, specialist reports, clinical pathways, and give them to families to insert into the notebook.

Why build your own Care Notebook?

The Care Notebook is an organizing tool for families and will help you keep track of important information. Care Notebooks are very personal to your child and ideally should be customized to reflect your child's medical history and current information. For this reason, this web site has been developed to allow you to build a Care Notebook that best meets the need of your child.

Find out more about how to use the Care Notebook web site to create your own personal care notebook by taking the Care Notebook Online Tour.

How do I build my own Care Notebook?

Twenty Care Notebooks have been divided into sections with similar content and made available in both Microsoft Word and PDF formats. Your computer must have Microsoft Word software to open and use the Word documents or to delete, modify, or add your own text to reflect the information you want to include in that particular section of your Child's Care Notebook. You will need the free Adobe Reader on your computer to open and view the PDF documents. You can fill-in and print completed PDF forms from the web site or print blank forms and complete them manually. You cannot save completed PDF forms unless you purchase and have Adobe Acrobat software on your computer. Most people will want to fill-in and save the Care Notebook documents and this is most easily done with the word documents. However, those who do not have Word software on their computer are able to use the PDF format version with the understanding that the forms cannot be altered (or changed). It is recommended to view the online examples before building your own care notebook.

Complete Care Notebooks to Review as Examples

Child's Health Record (English Version) and Child's Health Record (Spanish Version) Developed by The Alameda County Medical Home Project pdf file

Los Angeles Medical Home Care Notebook (in English and Spanish)- Developed by The Los Angeles Medical Home Project for CSHCN

Care Notebook - Center for Children with Special Needs: A Program of Children's Hospital & Regional Medical Center of Seattle, Washington.
Available in English only.

Care Notebook and Estate Planning Guide | Worksheet for Costing Out Expenses
Life Planning Checklist - Front Page of notebook Color Key - Second Page of Notebook
The Center for Infants and Children with Special Needs: Children's Hospital Medical Center of Cincinnati and The Arc of Hamilton County.

This care notebook assists parents/caregivers in maintaining a medical record while
also providing guidance on more emotional, future planning and estate issues. Microsoft Word Document

Children's On-line Medical Organizer-Developed by Children's Hospitals and Clinics, Minneapolis and St. Paul, MN
This organizer is a free on-line medical record that sets up a personal web site - available from any Internet capable computer. You identify who can look at it, add to or change the information. You can access and print information that you need from any internet-capable computer. You can also set up access for other family members or providers.

Use the Organizer to record and store your child's - and your family's - medical and health information in one place. Whether your child has a complex medical history or goes to the doctor only occasionally, you are in charge of the information. Put in as little or as much as you want.

Care Notebook Utah Care Notebook
This Care Notebook is an organizing tool for families who have children with special health care needs. Utah created the book to help families keep track of important health care information, list providers and community organizations contact information, prepare for appointments and file and share health history. Utah Family Voices shared this guide so that other resource centers may use this as a template when developing similar tools. pdf file

Purpose: Physicians and parents with children with special health care needs developed the CHSA. The CHSA is a comprehensive, portable medical record. The CHSA is used to monitor a child’s health status so as to communicate timely and accurate information to health care providers. The CHSA provides a convenient and effective way to organize information for children with special health care needs. Available in Spanish.

The assessment index includes:

  • Emergency Information Form For Children With Special Needs (2 pages)
  • Smart Card (1 heavy sheet)
  • Tips on Preparing to See the Doctor (1 page)
  • Commonly Encountered Medical Terms (6 pages)
  • Measurement Terms and Abbreviations Chart (2 Pages)
  • Insurance Worksheet (1 page – print same chart on back and front of sheet)
  • Children’s Health Guide (1 page)
  • Spina Bifida and Latex Allergy Links (2 pages)
  • The Oral Allergy Syndrome (1 page)
  • Telephone Directory (4 pages)

Directions: Resources for Your Child's Care, Second Edition, a resource
manual for families of children with special health care needs.


The purpose of Directions is:

  • To help families organize health records and information in order to
    optimize contact with health providers and health plans.
  • To provide resources and specialized information about caring for
    child with special health care needs.
  • To improve communication among families, health providers, and
    health plans.

    To download Directions in English and Spanish from the Internet,
    visit www.mass.gov/dph/fch/directions

Family Information Notebook (FIN):
FIN fin(fin) n. 1. a fish uses its fin to balance, steer, and avoid obstacles as it moves through the water.

The FIN Project is an information exchange system for use among caregivers and health care, educational, faith-based, recreational and other community systems that care for a child with special health care needs. www.vanderbiltchildrens.com/interior.php?mid=564



Last Updated July 15, 2008

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