Care plan documents

If a child in your program has a health condition or behavioral health need, print out the appropriate Care Plan Packet below. If a family has provided a care plan signed by a licensed healthcare provider, skip to Step 3. Note: If you use one of the packets below, you do not need a separate Medication Authorization Form.

• Asthma Care Plan Packet (699 KB)
• Diabetes Care Plan Packet (854 KB)
• Seizure Care Plan Packet (933 KB)
• Individual Care Plan Packet (242 KB) - Use this for health conditions not listed above or behavioral health needs.
• Allergy Care Plan Packet (500 KB) - This includes food allergies
• Food Intolerance Care Plan Packet (302 KB)

The terms "food allergy" and "ood intolerance" can be confusing, and families may not know which one their child has. The child's healthcare provider helps determine if a child has an allergy or an intolerance. If families are unsure, they can take both care plan packets to the healthcare provider who will fill out the right one for the child.

Have a licensed healthcare provider and parent or guardian complete the care plan packet and return it to your program.

All items in the checklist are required for a care plan to be compliant with Washington Administrative Code (WAC).

• Care Plan Checklist for Allergy, Asthma, Food Intolerance, or Individual Care Plans (553 KB)
• Care Plan Checklist for Diabetes (610 KB)
• Care Plan Checklist for Seizures  (315 KB)

Use the checklist to review the care plan and make sure all items are complete. If all items are complete, stop here.

If you cannot complete the checklist, the care plan is missing information. You will need to do one of the following:

• Return the care plan to the healthcare provider or family to complete the missing information.
• Print the pages you need from the Care Plan Packet listed in Step 1. Give them to the healthcare provider or family to be completed.

Use the checklist to review the care plan and make sure all items are complete.

Review these additional resources to support children with care plans" and list the following:

• Allergic Reaction in Young Children (168 KB)
• Epinephrine Auto-injector Instructions (223 KB)
• Watch training videos on how to use different epinephrine devices. Note: reviewing these videos does not replace the need for training by the parent or guardian, which is required by WAC.