2965 Hwy 43, Kemptville +1-613 258-1931

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.

Student Information


PREVENTION AND SUPPORTS


SYMPTOMS AND EMERGENCY PROCEDURES


The following individuals participated in the development of this individual plan (optional):



SPECIAL INSTRUCTIONS

• *Acute: a condition that is severe and sudden in onset that, if left untreated, could lead to a chronic syndrome.

• **Chronic: a long-developing syndrome that can develop or worsen over an extended period of time.

• Each child with medical needs requires their own individualized plan. If significant changes and updates are required to this individualized plan, a new individualized plan must be completed.

• An additional individualized plan is not required for a child with an anaphylactic allergy, if the child does not otherwise have a medical need, as these children must already have an individualized plan under the anaphylactic policy.

• Children’s personal health information should be kept confidential.