"This is Me" Tool

Seeing patients as more than a cluster of symptoms.

The “This Is Me” tool is specially designed to help caregivers get to know patients personally and medically. The tool was developed by parents of children with special health needs, in partnership with medical professionals, as part of collaborative projects (including the Collaborative to Improve Care for Children with Autism Spectrum Disorder project) that empower families to improve healthcare. 

The first page has labeled boxes for personal information, including life goals, preferred activities, and preventative behavior supports. There’s also a spot in the middle for a photo. The second page focuses on medical and school info. The “This Is Me” worksheet can be easily adapted to suit any special needs child, and used in a variety of settings, including schools and hospitals.


Source: Thompson Center for Autism & Neurodevelopmental Disorders at University of Missouri, NICHQ
Published: 2014


This Is Me Tool