PRINTABLE TOOLS
Keep the information that helps.
Fill a sheet on your device, then print or choose “Save as PDF” in your browser’s print dialog. Entries stay on this page only while it is open; this page does not submit or store your private answers. Save the printed file securely.
Today Photo quick check
One current, clear full-body photo is enough. A phone picture before a busy outing can show face, hairstyle, clothes, shoes, coat and a commonly carried item. Update when appearance changes.
- ☐ Clear face and full body in good light
- ☐ Current outfit and shoes visible
- ☐ Easy for a trusted caregiver to find on the phone
First Responder Information Sheet
Share only with people who need it. Update the photo and contacts regularly.
Emergency Care Sheet / Caregiver Emergency Plan
☐ Confirm each caregiver agrees. ☐ Share secure access. ☐ Revisit after any major change.
School Transportation Problem Log
Insurance Denial Checklist
- ☐ Obtain written denial and reason.
- ☐ Check plan type, benefit and appeal instructions.
- ☐ Request provider letter and supporting records.
- ☐ File internal appeal by deadline; keep copies and confirmation.
- ☐ Ask about external review or Medicaid Managed Care process if eligible.
Hospital / ER Preparation & Communication Sheet
For surgery: ☐ Ask about pre-op tour / child life. ☐ Clarify fasting, medication and anesthesia with clinical team. ☐ Request written discharge instructions.
Adult Transition Checklist & Dashboard
This is a flexible conversation guide, not a rigid age rule.
- ☐ Healthcare: adult providers, consent and records
- ☐ Benefits: SSI, Medicaid and work incentives
- ☐ Decision-making: preferences and needed supports
- ☐ Work / vocational support or meaningful daytime options
- ☐ Housing and transportation
- ☐ Money skills and protection from exploitation
- ☐ Social life, safety and emergency plan
- ☐ Long-term planning and future caregivers
What Changes at 18 Checklist
- ☐ Discuss medical consent and healthcare privacy.
- ☐ Ask how adult and school records will be shared.
- ☐ Review benefits and adult service applications in NY or NJ.
- ☐ Explore supported decision-making and other legal tools individually.
- ☐ Identify adult healthcare, vocational support, transportation and housing plans.
- ☐ Update emergency contacts and backup care.
Medication Sheet
Confirm dosing with the prescribing clinician. This sheet does not replace medical instructions.
Disaster Go-Bag Checklist
- ☐ Current medication list and emergency supply plan
- ☐ Medical summary, allergies, insurance and emergency contacts
- ☐ ID, current photo and communication card
- ☐ AAC/GPS devices, chargers, backup batteries
- ☐ Safe foods, water, hygiene/continence supplies
- ☐ Headphones, sensory and comfort items
- ☐ Transportation and backup caregiver plan
- ☐ Pet/service animal needs
When I’m No Longer Here Checklist
- ☐ Identify successor caregivers and emergency contacts.
- ☐ Document routines, wishes and quality-of-life priorities in a Letter of Intent.
- ☐ Review housing, transportation, benefits and service continuity.
- ☐ Review wills, beneficiaries, ABLE and trust planning with qualified advisers.
- ☐ Separate financial oversight from direct care where possible.
- ☐ Arrange independent advocacy, regular outside contact and account review.
- ☐ Set dates for plan review and caregiver replacement if needed.