SPECIAL NEEDS EMERGENCY SAFETY FILE
FILE# 1001
NAME - JOHN SMITH
DATE OF BIRTH - 01-06-2000
HOME ADDRESS - 123 MAIN STREET / FAMILY TOWN / MI 12345
EMERGENCY CONTACTS
DAD - STEVE SMITH - 202-111----
MOM - SUSAN SMITH - 202-111----
PRIMARY DOCTOR - DR GREEN - 202-123----
COUNTY CASE WORKER - BOB OCONNOR - 202-123----
SPECIAL NEEDS SPECIFICS
*EXTREME AUTISM & EPILEPSY
*NON-VERBAL / DOESN’T SPEAK AT ALL
*DOESN’T UNDERSTAND DANGER OR DIRECTIONS
*THINK ADULT NEWBORN
*GETS AGITATED EASILY / DOESN’T LIKE TO WAIT
*CAN BECOME SLIGHTLY COMBATIVE
*HAS TO BE CONSTANTLY MOVING
*IS ON SEVERAL MEDICATIONS & MUST BE TAKEN
AT SPECIFIC TIMES. SEE MEDICATION INFO CARD AT HOME
*LIKES YOUTUBE - BARNEY AND BLUES CLUES VIDEOS
*LIKES PIZZA, MAC & CHEESE, GOLDFISH CRACKERS, FRENCH FRIES,
JUICE BOXES, AND CHOCOLATE CHIP COOKIES
LAST SEIZURE WAS 12/10/2021 / COMES OUT OF NO WHERE