Download MediPal’s Autism Health Profile Form

Welcome to the MediPal ID Family
MediPal’s Health Profile Form for AUTISM is intended for use by those who have behaviors unique or characteristic of the diagnosis of Autism.
Download Medipal’s Health Profile Form for Autism here
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

Download Our Guide to Placing a Digital Image.
Our Guide shows you how to place a digital image on your Health Profile form!

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 a Medical Consent Form
Pre-Authorize Emergency Medical Treatment for You or Your Child
Up Next
We are working on a Resources page for Caregiving ideas, links to National Resources, and much more! Come back to visit us anytime!