• Medications Names
Times Amounts How the medications are taken (with meals, mixed in applesauce, etc.)
• Allergies List Signs of an allergic reaction How to respond • Seizures Signs of a seizure How to respond How long it usually lasts
How (s)he usually acts afterwards Who to contact (parents, doctor, 911) • Other medical conditions
• Dangerous behaviors to be aware of (check all that apply, describe, and advise how to prevent or intervene) Eloping/wandering (leaving the designated area without telling anyone) • Places (s)he might go or hide Strong interest in pools or bodies of water • Can (s)he swim? Eating nonfood items or putting them in his/her mouth
Aggression Self-injury
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