Personal Health Records / Care Notebooks

Care Notebook and Care Organizer - Washington

The Care Notebook and Care Organizer are tools for families who have children with special health care needs developed in Washington State Children's Hospital and Regional Center. Families use Care Notebooks to keep track of important information about their child's health and care. This makes it easier to find and share key information with their child's care team. These tools are available in English, Spanish, Russian, and Vietnamese.
NOTE: All of these files are MS Word or Word Templates unless otherwise indicated.

Setting Up and Using a Care Notebook
Care Notebook: A Quick Guide
List of Pages
Alphabet Soup: Acronym Index

Pages to Keep Track of Appointments and Care
Appointment Log
Diet Tracking Form
Equipment/Supplies
Growth Tracking Form
Hospital Stay Tracking Form
Emergency Information Form
Lab Work/Tests/Procedures
Make-a-Calendar
Medical Bill Tracking Form
Medical/Surgical Appointments
Medications
Notes

Pages to Create a Care Summary: Abilities and Special Care Needs
Activities of Daily Living
Care Schedule
Child's Page - Now and Later
Communication
Coping/Stress Tolerance
Mobility
Nutrition
Respiratory
Rest/Sleep
Social/Play
Transitions - Looking Ahead

Pages to Create a Care Team and Resources List
Children's Hospital and Regional Medical Center Information Form
Hospital Information Form
Finding Resources for Children with Special Needs

Community Health Care/Service Providers:
Medical/Dental
Public Health
Home Care
Therapists
Early Intervention Services
School
Child Care
Respite Care
Pharmacy
Special Transportation
Family Information
Family Support Resources
Insurance/Funding Sources