This plan of care has been written by A Great Pediatric Practice to help us work with you to be as healthy as you can be. This plan will let you tell us what is important to you and will let you know what to expect from us.

We will keep a copy of this plan and make changes as necessary. We will share this with other people who take care of you (for example, other doctors or therapists), as needed. You can also share this with others, such as family members, who help you take care of yourself.

Date and Pediatrician Information

About Me

Who Do I Contact When I Need Care or Have Questions?

Important Health Information

My Health Concerns (include concerns from patient and caregiver perspectives)

My Health Goals

My Planned Care

Creating templates for plans of care and tracking the time and activities of chronic care...

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