{"id":318,"date":"2022-01-05T17:06:56","date_gmt":"2022-01-05T17:06:56","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/accece\/back-matter\/appendix-l-individualized-health-care-plan\/"},"modified":"2022-01-05T17:06:56","modified_gmt":"2022-01-05T17:06:56","slug":"appendix-l-individualized-health-care-plan","status":"publish","type":"back-matter","link":"https:\/\/pressbooks.ccconline.org\/accece\/back-matter\/appendix-l-individualized-health-care-plan\/","title":{"raw":"Appendix L: Individualized Health Care Plan","rendered":"Appendix L: Individualized Health Care Plan"},"content":{"raw":"

Individualized Health Care Plan[1]<\/a><\/sub><\/h3>\nChild:\u00a0______________________________________Birthdate:\u00a0_______________________\n\nParent(s) or Guardian(s): ______________________________________________________\n\nPhone #: _________________________ Alternate Phone #:__________________________\n\nPrimary Health Care Provider: __________________________________________________\n\nPrimary Health Care Provider Phone #: ___________________________________________\n\nDIAGNOSIS:<\/strong>\n
    \n \t
  1. ________________________________________________________________________<\/li>\n \t
  2. ________________________________________________________________________<\/li>\n \t
  3. _______________________________________________________________________<\/li>\n<\/ol>\nRoutine Care<\/strong>\n\n\n\n\n\n\n\n
    Medication<\/strong><\/td>\nWhen<\/strong><\/td>\nHow Much<\/strong><\/td>\nHow<\/strong><\/td>\nPossible Side Effects<\/strong><\/td>\n<\/tr>\n<\/thead>\n
    <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
    <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
    <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n \n\n\n\n\n\n\n\n\n\n\n
    Describe accommodations the child needs in daily activities<\/strong><\/td>\n<\/tr>\n<\/thead>\n
    Diet or Feeding\n\n <\/td>\n<\/td>\n<\/tr>\n
    Naptime\/Sleeping\n\n <\/td>\n<\/td>\n<\/tr>\n
    Toileting\n\n <\/td>\n<\/td>\n<\/tr>\n
    Outdoor Activities\/Field Trips\n\n <\/td>\n<\/td>\n<\/tr>\n
    Transportation\n\n <\/td>\n<\/td>\n<\/tr>\n
    Other\n\n <\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nEmergency Care<\/strong>\n\nCall parents for: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________\n\nWhile waiting for parent\/guardian or medical help to arrive: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________\n\nGive as Needed or Emergency Medication for: _______________________________________<\/span>\n\n\n\n\n\n\n
    Medication<\/strong><\/td>\nWhen<\/strong><\/td>\nHow Much<\/strong><\/td>\nHow<\/strong><\/td>\nPossible Side Effects<\/strong><\/td>\n<\/tr>\n<\/thead>\n
     \n\n <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
     \n\n <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nGet medical attention for: \u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________\n\nCALL 911 (Emergency Medical Services) FOR: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________\n\nDate plan completed: _______________ Plan will be updated on or before: ________________\n\nParent(s) or Guardian(s):\n\n___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________\n\nStaff Name(s) & Title(s):\n\n___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________\n\n___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________\n\nHealth Care Provider Name(s) & Title(s):\n\n___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________\n\n___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________\n
    \n
    \n\n[1]<\/a> Making It on Our Own: Customizing an Individualized Health Plan [A Learning Activity]<\/a> by Head Start Early Childhood Learning & Knowledge Center<\/a> is in the public domain\n\n<\/div>\n<\/div>","rendered":"

    Individualized Health Care Plan[1]<\/a><\/sub><\/h3>\n

    Child:\u00a0______________________________________Birthdate:\u00a0_______________________<\/p>\n

    Parent(s) or Guardian(s): ______________________________________________________<\/p>\n

    Phone #: _________________________ Alternate Phone #:__________________________<\/p>\n

    Primary Health Care Provider: __________________________________________________<\/p>\n

    Primary Health Care Provider Phone #: ___________________________________________<\/p>\n

    DIAGNOSIS:<\/strong><\/p>\n

      \n
    1. ________________________________________________________________________<\/li>\n
    2. ________________________________________________________________________<\/li>\n
    3. _______________________________________________________________________<\/li>\n<\/ol>\n

      Routine Care<\/strong><\/p>\n\n\n\n\n\n\n\n
      Medication<\/strong><\/td>\nWhen<\/strong><\/td>\nHow Much<\/strong><\/td>\nHow<\/strong><\/td>\nPossible Side Effects<\/strong><\/td>\n<\/tr>\n<\/thead>\n
      <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
      <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
      <\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

       <\/p>\n\n\n\n\n\n\n\n\n\n\n
      Describe accommodations the child needs in daily activities<\/strong><\/td>\n<\/tr>\n<\/thead>\n
      Diet or Feeding<\/p>\n

       <\/td>\n

      		<\/td>\n<\/tr>\n
      Naptime\/Sleeping<\/p>\n

       <\/td>\n

      		<\/td>\n<\/tr>\n
      Toileting<\/p>\n

       <\/td>\n

      		<\/td>\n<\/tr>\n
      Outdoor Activities\/Field Trips<\/p>\n

       <\/td>\n

      		<\/td>\n<\/tr>\n
      Transportation<\/p>\n

       <\/td>\n

      		<\/td>\n<\/tr>\n
      Other<\/p>\n

       <\/td>\n

      		<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

      Emergency Care<\/strong><\/p>\n

      Call parents for: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n

      While waiting for parent\/guardian or medical help to arrive: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n

      Give as Needed or Emergency Medication for: _______________________________________<\/span><\/p>\n\n\n\n\n\n\n
      Medication<\/strong><\/td>\nWhen<\/strong><\/td>\nHow Much<\/strong><\/td>\nHow<\/strong><\/td>\nPossible Side Effects<\/strong><\/td>\n<\/tr>\n<\/thead>\n
       <\/p>\n

       <\/td>\n

      		<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n
       <\/p>\n

       <\/td>\n

      		<\/td>\n<\/td>\n<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

      Get medical attention for: \u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad\u00ad___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n

      CALL 911 (Emergency Medical Services) FOR: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________<\/p>\n

      Date plan completed: _______________ Plan will be updated on or before: ________________<\/p>\n

      Parent(s) or Guardian(s):<\/p>\n

      ___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________<\/p>\n

      Staff Name(s) & Title(s):<\/p>\n

      ___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________<\/p>\n

      ___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________<\/p>\n

      Health Care Provider Name(s) & Title(s):<\/p>\n

      ___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________<\/p>\n

      ___________________________________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________<\/p>\n

      \n
      \n

      [1]<\/a> Making It on Our Own: Customizing an Individualized Health Plan [A Learning Activity]<\/a> by Head Start Early Childhood Learning & Knowledge Center<\/a> is in the public domain<\/p>\n<\/div>\n<\/div>\n","protected":false},"author":32,"menu_order":12,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"back-matter-type":[27],"contributor":[],"license":[],"class_list":["post-318","back-matter","type-back-matter","status-publish","hentry","back-matter-type-appendix"],"_links":{"self":[{"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/pressbooks\/v2\/back-matter\/318","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/pressbooks\/v2\/back-matter"}],"about":[{"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/wp\/v2\/types\/back-matter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/wp\/v2\/users\/32"}],"version-history":[{"count":0,"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/pressbooks\/v2\/back-matter\/318\/revisions"}],"metadata":[{"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/pressbooks\/v2\/back-matter\/318\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/wp\/v2\/media?parent=318"}],"wp:term":[{"taxonomy":"back-matter-type","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/pressbooks\/v2\/back-matter-type?post=318"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/wp\/v2\/contributor?post=318"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.ccconline.org\/accece\/wp-json\/wp\/v2\/license?post=318"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}