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FILL-IN VERSION WITH SPACES FOR TYPING AND IMAGES Universal 2.0 Autism COVID-19 Individual Health Action Plan

FILL-IN VERSION WITH SPACES FOR TYPING AND IMAGES Autism COVID-19 Individual Health Action Plan Universal 2.0 Format In order to fill-in you need to download the file as a pdf and read with adobe reader or in your browser on a computer or laptop. Contents: SECTION ONE: Do I have any Symptom's of COVID-19 Am I in a priority group? My notes SECTION TWO: How I can contact my GP (Doctor) Who and How I contact people if I need help SECTION THREE: Your important information SECTION FOUR: How I communicate SECTION FIVE: Emergency Bag checklist in case I need to go to the hospital. Note. I am more than happy to make any specific Individual alteration as needed., e.g., specific visuals added or changed in graphics. please contact if needed. Contact Email: doylej30@tcd.ie Twitter: @JesscaDoyle Linkedin: linkedin.com/in/jessicakdoyle

FILL-IN VERSION WITH SPACES FOR TYPING AND IMAGES
Autism COVID-19 Individual Health Action Plan
Universal 2.0 Format

In order to fill-in you need to download the file as a pdf and read with adobe reader or in your browser on a computer or laptop.
Contents:
SECTION ONE:
Do I have any Symptom's of COVID-19
Am I in a priority group?
My notes

SECTION TWO:
How I can contact my GP (Doctor)
Who and How I contact people if I need help

SECTION THREE:
Your important information

SECTION FOUR:
How I communicate

SECTION FIVE:
Emergency Bag checklist in case
I need to go to the hospital.

Note. I am more than happy to make any specific Individual alteration as needed., e.g., specific visuals added or changed in graphics. please contact if needed.

Contact
Email: doylej30@tcd.ie
Twitter: @JesscaDoyle
Linkedin: linkedin.com/in/jessicakdoyle

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SECTION FIVE:<br />

• Emergency Bag checklist in case<br />

I need to go to the hospital.<br />

Includes fillin<br />

and tick<br />

box sections<br />

___________<br />

What I need in my emergency bag<br />

Below are different categories of items you might want to put in your emergency bag, everyone's<br />

emergency bag is different. Items listed are only suggestions, there are blank spaces where you can<br />

add your own. Tick off each item when it has gone into your bag.<br />

<strong>IN</strong><strong>FOR</strong>MATION ITEMS<br />

This booklet<br />

when filled in.<br />

Identification.<br />

____________<br />

____________<br />

SENSORY ITEMS<br />

Headphones<br />

Fidget<br />

toy/chew stick<br />

Colouring book<br />

and pencils.<br />

Teddy.<br />

____________<br />

Sunglasses/eye<br />

mask.<br />

Ear plugs/<br />

defenders.<br />

Pen and paper<br />

____________<br />

____________<br />

SELF CARE ITEMS<br />

Pyjamas<br />

Bottle of water.<br />

Change of<br />

clothes +<br />

underwear<br />

/socks<br />

Toothbrush and<br />

toothpaste.<br />

Non-perishable<br />

snack<br />

____________<br />

____________<br />

____________<br />

____________<br />

Phone<br />

TECHNOLOGY ITEMS<br />

Communication<br />

aids ____________ ____________<br />

____________<br />

Phone charger<br />

Charged power<br />

bank<br />

____________<br />

____________<br />

____________<br />

<strong>Autism</strong> <strong>COVID</strong>-<strong>19</strong> <strong>Individual</strong> <strong>Health</strong> <strong>Action</strong> <strong>Plan</strong>, created<br />

by Jessica K. Doyle, Ireland 2020<br />

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