Fillable Printable Student Profile Template

Student Profile Template

SPECIAL NEEDS STUDENT PROFILE FOR EDUCATORS

STUDENT’S NAME & AGE

PHYSICAL DESCRIPTION

MEDICAL CONDITION(S)/ALLERGIES/DIETARY RESTRICTIONS

TRIGGERS/DISLIKES/FEARS

LIKES/ATTRACTIONS/FAVORITE THINGS

BEST CALMING METHODS

IF LOST, MAY LIKELY BE FOUND AT

EMERGENCY CONTACT

STUDENT’S TRACKING FREQUENCY (IF APPLICABLE)

NOTE: immediately notify parent or caregiver of a wandering incident, even if it seems small or insignificant. If the student is ever missing,

CALL 911 and search areas that pose the highest threat first, such as nearby water sources and traffic. Avoid the following: non-emergency

restraint, prone or supine restraints, and seclusion practices as these can cause new behaviors or worsen existing behaviors.

SIGNS OF ESCALATION

DO’S & DONT’S

ADDITIONAL INFO

PLACE STUDENT’S PHOTO HERE