The health passport form provides a concise way to record all of the essential aspects of the individual's medical history including COVID-19 symptoms and risk factors; personal assistance needs; and the individual's self-expression, likes and dislikes. It is a fillable form, and the information can be entered online, or the form can be printed and filled in by hand. The health passport can be duplicated, with a request from the caregivers that it should be readily available to every health care professional who is caring for the individual at the hospital.
This form was created by the Ohio Association of County Board of Developmental Disabilities with substantial input and guidance from Dr. Susan Abend of the Right Care Now Project. The Arc of New Jersey made a small change on the original form to better reflect the I/DD service system in New Jersey.