Care Plan for Children with Special Health Needs - Department of Health (New Jersey)

Form Template

This mobile application is specifically designed to help parents of children with special needs quickly submit a care plan to their child's care taker or school personnel.

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To facilitate communication between the health care provider and the parent, enter detailed information such as techniques to get the child to cooperate with treatments and specifics about the child care site/school like the hours attended and the resources/limitations of the out-of-home care provider. Include specific data such as list of medications, emergency protocol to be followed, and identify special training for staff. Acknowledge information by signing in the app, and your data is submitted in seconds.

  • Signature Capture
  • Submission Editing
  • Reference Data
  • Dispatch
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