W. J. GRIFFIS CHILDREN’S CENTRE INDIVIDUALIZED PLAN FOR A CHILD WITH MEDICAL NEEDS This form must be completed for a child who has one or more acute* or chronic** medical conditions such that he or she requires additional supports, accommodation or assistance. Child’s Full Name: Child’s Date of Birth: (dd/mm/yyyy) Date Individualized Plan Completed: Medical Condition(s): Diabetes Asthma Seizure Other: Prevention and Supports Symptoms and Emergency Procedures Additional Information Related to the Medical Condition (if applicable):
W. J. GRIFFIS CHILDREN’S CENTRE INDIVIDUALIZED PLAN FOR A CHILD WITH MEDICAL NEEDS This form must be completed for a child who has one or more acute* or chronic** medical conditions such that he or she requires additional supports, accommodation or assistance. Child’s Full Name: Child’s Date of Birth: (dd/mm/yyyy) Date Individualized Plan Completed: Medical Condition(s): Diabetes Asthma Seizure Other: Prevention and Supports Symptoms and Emergency Procedures Additional Information Related to the Medical Condition (if applicable):
griffis-parent-handbook-may-2018-doc001.docx