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Sample Health Plans

Emergency Information Form - a form that parents can use to hand to doctors when they go to the emergency room. It includes a place to record contact information for the child, the child's physicians, diagnoses, base-line findings, allergies, procedures to be avoided, medications, and common presenting problems with specific suggested managements for the child. Available as a PDF or interactive Word document.
Emergency Information Form for Children with Special Needspdf icon
Emergency Information Form for Children with Special Needs (.doc)

Sample Health Plan for Home and School pdf icon

Sample Individual Health Plan pdf icon

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