Get First Responders Checklist

Filling out the First Responders Checklist is an important step in ensuring the safety and well-being of individuals with autism. This guide will provide clear and detailed instructions to assist users in completing the form accurately and thoroughly.

Follow the steps to complete the checklist with ease.

1. Press the ‘Get Form’ button to access the checklist and open it in your preferred editor.
2. Begin by entering the last and first name of the individual in the designated fields. Providing accurate information is essential.
3. Fill out the personal description section, including the date of birth, race, sex, height, weight, hair color, and eye color.
4. Note any scars or birthmarks, and indicate if the individual wears glasses.
5. In the diagnosis section, specify the autism diagnosis, and include any co-existing diagnoses.
6. Upload a recent photo of the individual if required.
7. Answer whether the individual carries any special identification by selecting 'Yes' or 'No'. If applicable, specify the form and location of the identification.
8. Provide important address information, including the home address and school address along with corresponding phone numbers.
9. List emergency contacts, including their names, relationships, addresses, and phone numbers for three contacts.
10. In the medical concerns section, record current medications and any known allergies, indicating 'Yes' or 'No' as appropriate.
11. Specify if the individual is verbal or non-verbal and indicate their sensitivity to noise or touch.
12. Assess eye contact quality and note if the individual engages in self-stimming behavior, providing details.
13. State if the individual has ever run away from home or school and if so, where they typically go.
14. Detail any alcohol or drug issues, prior arrests, history of violence, household weapons, and their security status.
15. Indicate if the individual has specific fears and list any triggers that may upset them.
16. Provide information on topics the individual enjoys discussing and any other pertinent information.
17. Complete the release section by providing your name, signature, and the date, allowing for the retention and distribution of the information.
18. Review all entries for accuracy. Once completed, save changes, download, print, or share the checklist as necessary.

Take the next step in ensuring safety by filling out the First Responders Checklist online today.