Behavioral (Communication) Skills

Behavioral skills are interpersonal behaviors that connect to successful performance. Examples include providing patient- and family-centered care, being culturally aware, and using principles of team-based care.

Last updated: September 19, 2022

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Emergency Information Form for Children With Special Health Care Needs

(form = 1 page; webpage includes Policy Statements)

Emergency Information Form for Children With Special Health Care Needs

This important document will assure prompt and appropriate care for Children with Special Health Care Needs (CSHCN). Now, when these patients present to emergency departments or health care professionals with an acute illness or injury, physicians, parents, EMS professionals, and nurses will be able to use the Emergency Information Form (EIF) as a tool to transfer critical information.

The EIF will ensure that a child's complicated medical history is concisely summarized and available when it is needed most - when the child presents with an acute health problem at a time when neither parent nor pediatrician is immediately available.

Link to ACEP webpage includes the form (PDF & interactive), a sample/completed form, and ACEP & AAP Policy Statements.

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The EMSC Innovation and Improvement Center is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award (U07MC37471) totaling $2.5M with 0 percent financed with nongovernmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, HRSA, HHS or the U.S. government. For more information, visit HRSA.gov.

Behavioral (Communication) Skills

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Emergency Information Form for Children With Special Health Care Needs