Family-Centered Care

Care Binders for Parents and Young Adults

Parents: In caring for your child with special health needs, you may get information and paperwork from many sources. A Care Binder can help you organize the most important information in a central place and share key information with members of your child’s care team.

Young adults: You may get information and paperwork from many sources related to your health and care. A Care Binder can help you organize the most important information in a central place and share key information with members of your healthcare team.

Below is a list of downloadable Care pages templates. Look through the pages and print those that you think will be helpful.

For young audlts

For parents

Behavior Management

English | Spanish | Arabic

Nutrition Notes

English | Spanish | Arabic

Social Experience

English | Spanish | Arabic

Transitions: Looking Ahead

English | Spanish | Arabic

For parents and young adults

General

Care Binders: A Quick Guide

English | Spanish | Arabic

Things I Don't Want to Forget

English | Spanish

To Do List

English | Spanish | Arabic

Medical

Emergency Information Form for Children with Special Needs
From the American Academy of Pediatrics

Appointment Log

English | Spanish | Arabic

CHOP Specialists

English | Spanish | Arabic

Equipment Supplies Vendor

English | Spanish | Arabic

Home Care Service Providers

English | Spanish | Arabic

Lab Work and Procedures

English | Spanish | Arabic

Letter of Medical Necessity

English | Spanish

Medical and Surgical Highlights

English | Spanish | Arabic

Medication Log

English | Spanish | Arabic

School Medication Letter

English | Spanish

Summary of Visit

English | Arabic

Family

Family Health History

English | Spanish | Arabic

General Family Information

English | Spanish | Arabic

Caring for You: Resources for Caregivers of Children With a Serious Medical Condition

English

Education/Therapies/Community Resources

Community Resources

English | Spanish

Early Intervention and/or School Service Providers

English | Spanish | Arabic

Therapists

English | Spanish | Arabic

Daily Routines

Activities My Child Likes to Do

English | Spanish | Arabic

Care Schedule

English | Spanish | Arabic

Child Care Service Providers

English | Spanish | Arabic

Personal Care and Hygiene

English | Spanish | Arabic

Respite Care Service Providers

English | Spanish | Arabic

Insurance/Legal/Financial

Financial Insurance Information

English | Spanish | Arabic

Future Planning

English | Spanish | Arabic

General Insurance Information

English | Spanish | Arabic

Information About Guardianship

English | Spanish | Arabic

Information About Important Legal Documents

English | Spanish | Arabic

Information About Trusts

English | Spanish | Arabic

Life Planning Checklist

English | Arabic

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