Child Information & Needs
Important: This information should be reviewed regularly and shared only with authorized caregivers and professionals.
Basic Information
- Child Name
- Date of Birth
- Primary Diagnosis / Disability
- Communication Method
Triggers & Sensitivities
- Environmental sensitivities
- Behavioral triggers
- Calming strategies
Mobility & Support
- Mobility aids
- Required adult support
- Evacuation considerations
School Emergency Plan
This section aligns with the school’s emergency procedures while addressing the child’s individual needs.
During Lockdown
- Assigned staff member responsible for the child
- Designated safe location
- Noise reduction and calming supports
During Evacuation
- Primary and secondary evacuation routes
- Mobility assistance plan
- Accountability and reunification steps
Medical Emergency Plan
Medical Conditions
- Chronic conditions
- Allergies
- Seizure or respiratory risks
Medications
- Medication name & dosage
- Administration instructions
- Emergency medications
Emergency Response
- When to call 911
- Hospital preference
- Medical consent instructions
Family Emergency Plan
This plan ensures continuity of care outside of school hours or during community-wide emergencies.
- Primary and secondary caregivers
- Emergency transportation arrangements
- Home evacuation plan
- Backup care providers
Key Emergency Contacts
- Parent / Guardian
- School Administrator
- School Nurse
- Primary Physician
- Emergency Services: 911
