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Wyoming Family to Family Health Information Center

1000 E. University Ave. Dept. 4298

Laramie, WY 82071

Phone: (307) 766-2761

Toll Free: 1-888-989-9463

TeleType: (307) 766-2720

Fax: (307) 766-2763

Email: wyof2f@uwyo.edu

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Care Planner

Organizing and Planning Care for your Child with Special Health Care Needs

This online care planner is designed to help parents navigate through medical interventions, keep track of various appointments, insurance, and unique healthcare needs. It puts the information in one place so that it can be found easily and brought to medical appointments as needed. It also provides parents the opportunity to record information about their child for other caregivers.

There are many forms available to you; some you will use a lot and others you may not need. This online notebook is designed to allow you to print and write on the pages you want, or to use the fillable PDF format and save them digitally. However you choose to use the care planner, an organizational system can help a parent feel more in control of the care for a child with special health care needs.

 

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*Please note that in order to use the fillable PDF documents, you will need to download the document from your browser window and open in Adobe Acrobat Reader.

All About Me: Information About Your Child - PDF

  • All About Me

  • Parent/Guardian Contact Information

  • About My Child's Condition

  • Communication

  • Coping/Stress Tolerance

  • Allergies

  • Growth Tracking Form

  • Notes

  • Milestone Moments Book

Providing Care: Daily and Special Circumstances - PDF

  • Importance of Routines

  • Favorites and Routines

  • Personal Care

  • Social/Play

  • Health Event Diary

  • Durable Medical Equipment

  • Assistive Technology

  • Medication Information

  • Medication Routine

  • Keeping Medication Organized

  • Tracking Medications

  • Notes

Contact Information - PDF

  • Health Care Providers and Support

  • Medical Supplies and Equipment

Appointments - PDF

  • Getting Ready for Appointments

  • Calendar

  • Appointment Planning Sheet

  • Appointment Information Sheet

  • Appointment Log

  • Notes

Health Care Planning: Navigating Systems of Care - PDF

  • List of Specialists

  • My Specialists Form

  • Questions to Ask Your Child's Primary Care Provider

  • Hospital Stays

  • Changing Health Care Providers

  • Medical Privacy and Communication

  • Notes

Health Records: Portable Health Information - PDF

  • Portable Medication Information

  • Portable Health Record

  • Immunization Record

  • Communicable Diseases and Allergy Record

  • Authorization for Emergency Treatment

  • Notes

Medical Bill Tracking - PDF

  • Tracking of Medical Bills

  • Medical Bill Communication Log

  • Medical Travel Expense Log

  • Out-of-pocket Expense Log

  • Resources to Help with Prescription Costs

  • Notes

Insurance and Financial Assistance - PDF

  • Insurance Provider Contact Information

  • Health Insurance: Questions to Ask and Tips

  • Financial Assistance Programs

  • Notes

Glossary of Terms - PDF

 


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Contact Us

Wyoming Family to Family Health Information Center

1000 E. University Ave. Dept. 4298

Laramie, WY 82071

Phone: (307) 766-2761

Toll Free: 1-888-989-9463

TeleType: (307) 766-2720

Fax: (307) 766-2763

Email: wyof2f@uwyo.edu

F2F logo
Find us on Facebook (Link opens a new window) Find us on Twitter (Link opens a new window)

1000 E. University Ave. Laramie, WY 82071
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