Below are three forms designed to help you create your child's care plan. You might choose to use one form - or all three. We tried to make these care plans as flexible as possible so you may use or change the forms to best meet your child's needs.

If you are having issues accessing the documents, please view our help page for downloading documents

  Getting to Know Me (DOC, 312 KB)
This form provides space to write about your general health, strengths and challenges. View a completed sample document (PDF, 48 KB). This document is also available in Spanish.

  What's the Plan? (DOC, 169 KB)
This one page worksheet is designed to help you organize your questions and concerns. Helps to plan for doctor visits and includes space for writing down "next steps". View a completed sample document (PDF, 45 KB). This document is also available in Spanish, Chinese, Vietnamese, Russian, and Korean.

  In Case of Emergency (DOC, 186 KB)
This form provides information that would be critical to people caring for you in an emergency. It is designed so that you can carry it with you at all times in your wallet. View a completed sample document (PDF, 49 KB). This document is also available in Spanish.