Emergency Information Form for Children With Special Health Care Needs
- (form = 1 page; webpage includes Policy Statements)
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Last updated: September 19, 2022
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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.