Create Your Own Care Plan for Parents

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.

Getting to Know Me: Provides space to write about your child's general health, strengths and challenges. View a completed sample document. This document is also available in Spanish.

What's the Plan?: 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. This document is also available in Spanish, Chinese, Vietnamese, Russian, and Korean.

In Case of Emergency: Provides information that would be critical to people caring for your child in an emergency. View a completed sample document. This document is also available in Spanish.  You may also want to fill out a wallet-sized Teens In Case of Emergency form to keep with your child at all times.