Care Notebook: Organizing Complex Medical Information

Care plans, visit notes, medical history, doctors’ names, and caregiver information in one place for easier sharing of care instructions for your child with complex health issues.

Families of kids with complex health care needs get information and paperwork from many sources. This Care Notebook organizes the information in one place to help families and providers share information.

The entire Care Notebook can be downloaded or personalized by choosing just the pages you need. The PDFs are fillable, so you can enter your child’s information on a computer or smartphone and save it online, or you can print out the pages and enter it by hand. The forms are available in English and Spanish.

Steps to Set Up Your Child’s Care Notebook (English)

Step 1: Gather information you already have

  • Gather any health information about your child you already have. This may include reports from recent doctor’s visits, recent summary of any hospital stays, this year’s school plan, test results, or informational pamphlets.

Step 2: Download the entire care notebook or just the pages you want.

  • Full notebook: Care Notebook.
  • Picking the pages you want
    • Which of these pages could help you keep track of information about your child’s health or care?
    • Consider printing extra of the pages you will use more. If you do not have access to a printer, contact your state’s Family Voices (FVAO) or Health Information (F2F) Center.

Step 3: Decide which information about your child is most important to include

  • What information do you look up often?
  • What information do people caring for your child need?
  • Consider storing other information in a file drawer or box where you can find it if needed.

Step 4: Put the Care Notebook together

Everyone has a different way of organizing information. The only important thing is to make it easy for you to find again. Here are some suggestions for supplies used to create a Care Notebook:

  • Three-ring notebook or large accordion envelope to hold papers securely
  • Tabbed dividers to create your own information sections
  • Pocket dividers to store reports
  • Plastic pages to store business cards and photographs

Steps to Set Up Your Child’s Care Notebook (Español) – Siga estos pasos para configurar el Cuaderno de Cuidado de su hijo

El Cuaderno de Cuidado está disponible para descargar o puede crear su libro personalizado eligiendo solo las páginas que necesita. Los formularios PDF se pueden completar, por lo que puede ingresar la información de su hijo en una computadora o teléfono inteligente si lo desea y guardarla en línea, o puede imprimir las páginas e ingresar la información de su hijo a mano.

  • Paso 1: Reúna la información que ya tiene
    • Reúna cualquier información de salud sobre su hijo que ya tenga. Esto puede incluir informes de visitas médicas recientes, resumen reciente de estadías en el hospital, plan escolar de este año, resultados de exámenes o folletos informativos.
  • Paso 2: Revisa las páginas del Cuaderno de Cuidado (ver abajo)
    • ¿Cuál de estas páginas podría ayudarlo a realizar un seguimiento de la información sobre la salud o el cuidado de su hijo?
      • Imprima todo el Cuaderno o elija solo las páginas que desee. Considere imprimir más de las páginas que usará más.
    • Si no tiene acceso a una impresora, comuníquese con el Centro de información de salud de familia a familia (F2F) o la Organización afiliada de Family Voices (FVAO) de su estado.
  • Paso 3: Decida qué información sobre su hijo es más importante incluir
    • ¿Qué información busca con frecuencia?
    • ¿Qué información necesitan las personas que cuidan a su hijo?
    • Considere almacenar otra información en un cajón o caja de archivos donde pueda encontrarla si es necesario.
  • Paso 4: Arme el Cuaderno de Cuidado
    • Cada quien tiene una forma diferente de organizar la información. Lo único importante es que te sea fácil encontrarlo de nuevo. Estas son algunas sugerencias de materiales utilizados para crear un Cuaderno de Cuidado:
      • Libreta de 3 anillas o sobre grande tipo acordeón para sujetar papeles de forma segura.
      • Separadores tabulados. Crea tus propias secciones de información.
      • Separadores de bolsillo. Almacenar informes.
      • Hojas de plástico. Almacenar tarjetas de presentación y fotografías.

Completo Cuaderno de Cuaderno (Complete Care Notebook Spanish)
Use páginas seleccionadas o todo el cuaderno: personalice.

Sections of the Care Notebook (English and Español)

Clicking the links below will download PDFs of the forms.

Pages to keep track of child and family informationPáginas para realizar un seguimiento de la información del niño y la familia
Child Information Page 1 (Care Notebook)
Child Information Page 2 (Care Notebook)
Página de Información del Niño 1 (Child Info Page 1 Care Notebook Spanish)
Página de Información del Niño 2 (Child Info Page 2 Care Notebook Spanish)
Family Information Page (Care Notebook)Página de Información Familiar (Family Info Page Care Notebook Spanish)
Scheduling Calendar (Care Notebook)Calendario de Programación (Scheduling Calendar Care Notebook Spanish)
Notes Page (Care Notebook)Página de Notas (Notes Care Notebook Spanish)
Pages to create a health care summaryPáginas para crear un resumen de atención médica
CSHCN Emergency Health Information Sheet Page 1 (Care Notebook)
CSHCN Emergency Health Information Sheet Page 2 (Care Notebook)
CSHCN Información de Emergencia (Emergency Health Information Page 1 Spanish)
CSHCN Información de Emergencia (Emergency Health Information Page 2 Spanish)
Doctors Appointments Page (Care Notebook)Página de Citas con el Médico (Doctors Appointments Care Notebook Spanish)
Diagnoses and Conditions Page (Care Notebook)Página de Diagnósticos y Condiciones (Diagnoses-Conditions Care Notebook Spanish)
Nutrition Page (Care Notebook)Página de Nutrición (Nutrition Care Notebook Spanish)
Diet and Tube Feed Tracking Page (Care Notebook)Página de Seguimiento de la Alimentación por Alimentación y por Sonda (Diet Tube Feed Tracking Care Notebook Spanish)
Growth Tracking Page (Care Notebook) Página de Seguimiento del Crecimiento (Growth Tracking Care Notebook Spanish)
Immunizations and Allergies Page 1 (Care Notebook)
Immunizations and Allergies Page 2 (Care Notebook)
Página de Vacunas y Alergias 1 (Immunizations Allergies Page 1 Care Notebook Spanish)
Página de Vacunas y Alergias 2 (Immunizations Allergies Page 2 Care Notebook Spanish)
Medications Page (Care Notebook)Página de Medicamentos (Medications Care Notebook Spanish)
Nebulizer Treatments and Vest Treatments Page (Care Notebook) Página de Tratamientos con Nebulizador y Tratamientos con Chaleco (Nebulizer Vest Treatments Care Notebook Spanish)
Catheterization Schedule (Care Notebook)Página de Programa de Cateterismo (Catheterization Schedule Care Notebook Spanish)
Respiratory and Breathing Notes Page (Care Notebook)Página de Notas Sobre la Respiratoria (Respiratory Breathing Care Notebook Spanish)
Dental Page (Care Notebook)Página de Dental (Dental Page Care Notebook Spanish)
Surgeries or Procedures Page (Care Notebook)Página de Cirugías o Procedimientos (Surgeries Procedures Care Notebook Spanish)
Lab Work Tests and Procedures Page (Care Notebook)Página de Laboratorio-Pruebas-Procedimientos (Lab Work Tests Procedures Care Notebook Spanish)
Event Tracker Page (Care Notebook)Página de Rastreador de Eventos (Event Tracker Care Notebook Spanish)
Seizure and Behavior Log (Care Notebook)Registro de Convulsiones-Comportamiento (Seizure Behavior Care Notebook Spanish)
Medical Supplies Page (Care Notebook)Página de Suministros Médicos (Medical Supplies Care Notebook Spanish)
Notes Page (Care Notebook)Página de Notas (Notes Care Notebook Spanish)
Pages to create a care team & resource listPáginas para crear un equipo de atención y una lista de recursos
Health Care Providers Page 1 (Care Notebook)
Health Care Providers Page 2 (Care Notebook)
Health Care Providers Page 3 (Care Notebook)
Health Care Providers Page 4 (Care Notebook)
Health Care Providers Page 5 (Care Notebook)
Página de Proveedores de Servicios de Salud 1 (Health Care Providers Page 1 Care Notebook Spanish)
Página de Proveedores de Servicios de Salud 2 (Health Care Providers Page 2 Care Notebook Spanish)
Página de Proveedores de Servicios de Salud 3 (Health Care Providers Page 3 Care Notebook Spanish)
Página de Proveedores de Servicios de Salud 4 (Health Care Providers Page 4 Care Notebook Spanish)
Página de Proveedores de Servicios de Salud 5 (Health Care Providers Page 5 Care Notebook Spanish)
Family Support Resources Page 1 (Care Notebook)
Family Support Resources Page 2 (Care Notebook)
Family Support Resources Page 3 (Care Notebook)
Página de Recursos de Apoyo Familiar 1 (Family Support Resources Page 1 Care Notebook Spanish)
Página de Recursos de Apoyo Familiar 2 (Family Support Resources Page 2 Care Notebook Spanish)
Página de Recursos de Apoyo Familiar 3 (Family Support Resources Page 3 Care Notebook Spanish)
School Contacts Page 1 (Care Notebook)
School Contacts Page 2 (Care Notebook)
Página de Contactos de la Escuela 1 (School Contacts Page 1 Care Notebook Spanish)
Página de Contactos de la Escuela 2 (School Contacts Page 2 Care Notebook Spanish)
Emergency Contacts Page (Care Notebook)Página de Contactos de Emergencia (Emergency Contacts Page Care Notebook Spanish)
Personal Contacts Page (Care Notebook)Página de Contactos Personales (Personal Contacts Page Care Notebook Spanish)
Contact Log (Care Notebook)Registro de Contacto (Contact Log Care Notebook Spanish)
Notes Page (Care Notebook) Página de Notas (Notes Care Notebook Spanish)
Pages to create a care planPáginas para crear un Plan de Cuidados
Care Schedule Page 1 (Care Notebook)
Care Schedule Page 2 (Care Notebook)
Página de Horario de Atención 1 (Care Schedule Page 1 Care Notebook Spanish)
Página de Horario de Atención 2 (Care Schedule Page 2 Care Notebook Spanish)
Mealtime Routine Page (Care Notebook) Página de Rutina a la Hora de Comer (Mealtime Routine Care Notebook Spanish)
Therapy Page (Care Notebook) Página de Terapia (Therapy Page Care Notebook Spanish)
Activities of Daily Living Page (Care Notebook)Página de Actividades de la Vida Diaria (Activities of Daily Living Page Care Notebook Spanish)
Social Experiences Page (Care Notebook)Página de Experiencias Sociales (Social Experiences Care Notebook Spanish)
Recreation Page (Care Notebook)Página de Recreación (Recreation Page Care Notebook Spanish)
Communication Page (Care Notebook) Página de Comunicación (Communication Page Care Notebook Spanish)
Communication Milestones Page (Care Notebook) Página de Hitos de Comunicación (Communication Milestones Care Notebook Spanish)
Coping and Stress Tolerance Page (Care Notebook)Página de Afrontamiento-Tolerancia al Estrés (Coping and Stress Tolerance Care Notebook Spanish)
Mobility Page (Care Notebook) Página de Movilidad (Mobility Page Care Notebook Spanish)
Social and Play Page (Care Notebook)Página de Social-Juego (Social and Play Page Care Notebook Spanish)
Rest and Sleep Page (Care Notebook)Página de Descanso-Sueño (Rest and Sleep Care Notebook Spanish)
Transitions and Looking Ahead Page (Care Notebook)Página de Transiciones-Mirando Hacia el Futuro (Transitions and Looking Ahead Care Notebook Spanish)
Notes Page (Care Notebook)Página de Notas (Notes Care Notebook Spanish)
]Pages to track health coverage and expensesPáginas para realizar un seguimiento de la Cobertura y los Gastos de Salud
Insurance and Coverage Page (Care Notebook)Página de Cobertura del Seguro (Insurance and Coverage Care Notebook Spanish)
Medical Bill Communication Log (Care Notebook) Registro de Comunicación de Facturas Médicas (Medical Bill Communication Log Care Notebook Spanish)
Medical Bills Page (Care Notebook) Página de Facturas Médicas (Medical Bills Care Notebook Spanish)
Medical Travel Expense Log (Care Notebook)Registro de Gastos de Viaje Médico (Medical Travel Expense Log Care Notebook Spanish)
Out-of-Pocket Expense Log (Care Notebook)Registro de Gastos de Bolsillo (Out-of-Pocket Expense Log Care Notebook Spanish)
Notes Page (Care Notebook) ( 31 KB)Página de Notas (Notes Care Notebook Spanish)

Apps and Technology

Cell phones and tablets have changed the way we keep and view information. These days, not many people leave the house without a cell phone, which makes them a great tool. Many families are using app technology instead of paper to keep track of their complex child’s needs and information. By searching your app store, you may find more are being developed all the time.

There is a standard medical ID built into newer smartphones (Apple IOS and Android models) that could be used for teens and young adults. It has an area for medications, doctors, and emergency contacts. While this will not be a complete medical record, there is a surprising amount of information available, including a link to medical records. The information is for the owner of the smartphone, so this option would be for teens and young adults and might encourage them to take a more active role in their health.

Resources

Family Voices
A national, nonprofit, family-led organization promoting quality health care for all children and youth, particularly those with special health care needs. Locate your Family-to-Family Health Information Center by state.

Parent Training and Information Centers (PTI)
Provide training and information to parents of infants, toddlers, children, and youth with disabilities and to people who work with parents to enable them to participate more fully and effectively with professionals in meeting the educational needs of their children with disabilities. See the link for Download a List of Parent Centers across the USA to find the parent center in your state; U.S. Department of Education.

Family Voices (FVAO) or Health Information (F2F) Center
Family-to-Family Health Information Centers are nonprofit, family-staffed organizations that assist families of children and youth with special health care needs (CYSHCN). Locate state-based F2F HICs, providing support, information, resources, and training.

Article History

The Medical Home Portal last published this in April 2022. Topical Reviews in Pediatrics republished it in November 2024. The Medical Home Portal, retired in July 2024, provided diagnosis and management information for pediatric conditions, guidance for immediate steps after a positive newborn screen result, and in-depth family education to improve outcomes for children with complex medical care needs.

The full archive can be found at the Medical Home Portal Archive

Topical Reviews in Pediatrics (TRIP) includes archival and updated content from the Medical Home Portal and features new, contemporary topics in pediatrics.  

Initial publication: June 2008; last update/revision: April 2022

  • 2022 revision: Tina PerselsA
  • 2008 revision: Gina Pola-MoneyA
  • 2007 first edition: Barbara Ward, RN BSA; Juan Carlos VasquezA

AAuthor; CAContributing Author; SASenior Author; RReviewer

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