Download MediPal’s Autism Health Profile Form
Welcome CARD UFL Families!
The MediPal Seatbelt ID for AUTISM is designed and intended for those with behaviors unique or characteristic of the diagnosis of Autism. Our Health Profile form for Autism guides you to provide information that is individualized to the MediPal ID user; information that may help Emergency Personnel better understand the behaviors of their patient, and/or appropriately de-escalate emotions and behaviors during or following an event.
Need Help With the Health Profile Form?
After you have downloaded your Health Profile form, follow the directions at the top of the form.
• Need help to view/fill out your Health Profile Form? Download Adobe Reader App for MAC or PC here: https://get.adobe.com/reader/otherversions/
• Need help to print a double-sided Document? Go here: http://helpx.adobe.com/acrobat/kb/print-double-sided-acrobat-reader.html
Tips for Interacting With Persons With Autism.
This screen-fillable form offers Tips for interacting with persons with Autism, along with more room for additional information you would like to accompany the user’s Health Profile Form for AUTISM. It also includes a Pec Communication Tools section geared toward those who are nonverbal.
Download Our Guide to Placing a Digital Image.
Our Guide shows you how to place a digital image on your Health Profile form!
We are working on a Resources page for Caregiving ideas, links to National Resources, and much more! Come back to visit us anytime!