This Special Care Organization Record (scor) has been developed just for you-parents with children with special health care needs. We offer the scor to you with


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Dear Parents,

This Special Care Organization Record (SCOR) has been developed just for you—parents with children with special health care needs. We offer the SCOR to you with deep appreciation for the central role you play in the life and care of your child as well as the service you have provided to our country. We hope it will serve you well as a guide in organizing and keeping track of your child’s records, appointments, and other important information. Families have used this guide to organize their thoughts and questions before a doctor’s appointment, as a diary to write down what the doctor is saying while at the appointment, as well as keeping all the medical information in one consolidated and convenient place.
You are encouraged to make this record work for you! Create your own sections; remove and rearrange pages to fit your needs; and personalize it with drawings, stickers, photographs, and special articles and resources you’ve found helpful. The SCOR pages may be downloaded and printed from this site. It is in Microsoft Word, and in a format easy to enter your information.
Once you are ready to start completing the information, place your cursor on the gray block after NAME on the PERSONAL HISTORY page. Click on “Tools” and then “Protect Document”. Ensure that “Forms” is checked and password protect if you like. You must remember the password in order to access the document in the future. Now you are ready to type and tab for completion of your SCOR! If you need to refer to the first few pages again, simply click on “Tools” and then “Unprotect Document”.
If you have suggestions or comments about the SCOR, please feel free to contact the Special Needs Consultant at specialneeds@tma.osd.mil.



Special Care Organization Guide (SCOR)

  • What is the SCOR?

The Special Care Organization Record is an organizing tool for families who have children with special health care needs. Use the SCOR to keep track of information about your child’s health and care.


  • How can the SCOR help me?

In caring for your child with special health needs, you may get information and paperwork from many sources. This organization record helps you organize the most important information in a central place. The SCOR makes it easier for you to find and share key information with others who are part of your child’s care team.


  • Use your SCOR to:

  • Track changes in your child’s medicines or treatments

  • List telephone numbers for health care providers and community organizations

  • Prepare for appointments

  • File information about your child’s health history

  • Share new information with your child’s primary doctor, public health or school nurse, daycare staff, and others caring for your child

  • Review the checklist prior to making a PCS move




  • What are some helpful hints for using my child’s SCOR?

  • Keep the SCOR where it is easy to find.

  • This helps you and anyone who needs information in your absence.

  • Add new information to the SCOR whenever there is a change in your child’s treatment.

  • Consider taking the SCOR with you to appointments and hospital visits so that information you need will be close at hand.




  • How do I set up my child’s SCOR?

Follow these steps to set up your child’s SCOR:




  • Step 1: Gather information you already have.
    Gather up any health information you already have about your child. This may include reports from recent doctor’s visits, immunization records, recent summary of a hospital stay, this year’s school plan, test results, or informational pamphlets




  • Step 2: Look through the pages of the SCOR.

  • Which of these pages could help you keep track of information about your child’s health or care?

  • Choose the pages you like. Print copies of any that you think you will use.




  • Step 3: Decide which information about your child is most important to keep in the SCOR.

  • What information do you look up often?

  • What information is needed by others caring for your child?

  • Consider storing other information in a file drawer or box where you can find it if needed.




  • Step 4: Put the SCOR together.

  • Everyone has a different way of organizing information. The only important thing is to make it easy for you to find again. Here are some suggestions for supplies used to create the SCOR:



  • 3-ring Guide or large accordion envelope.
    Holds papers securely.



  • Tabbed dividers.
    Create your own information sections.



  • Pocket dividers.
    Store reports



  • Plastic pages.
    Store business cards and photographs.


Table of Contents Special Care Organization Record

Helpful Websites

Personal History

My Birth

Comments about my Diagnosis and Surgeries

Hospital Tracker

Lab Work – Tests

Immunization Record

Case Manager

My Pharmacy

TRICARE
Insurance Information

Medical Bill Tracker

Medications

Family Medical History

Provider Information

Equipment and Supplies

Outpatient Therapy

My Doctor Visits

Watch Me Grow!

Early Intervention Services

Family Support Resources

School Support

Child Care Support

Respite Care

Transportation

My Daily Routine

Diet Tracking Form

Personal Hygiene

Behavior Help

About Me

Describe My Day

School History

Education (IEP)

Social Experiences

Emergency Plan

Estate/Future Plan

Family Information

Other Relatives

Child Advocates

Living Arrangements

Money Information

Guardianship

Appointment Log

Acronym Index

Moving Checklist


Helpful Websites Special Care Organization Record


Below are some websites you may find helpful.
Military HOMEFRONT: http://www.militaryhomefront.dod.mil

MilitaryHOMEFRONT is the central, trusted, up-to-date source for Service members and families to obtain information about all Quality of Life programs and services. Whether you live the military lifestyle or support those who do, you'll find what you need!
Military OneSource: https://www.militaryonesource.com

Military OneSource is designed to help you deal with life's issues. Our consultants are available 24 hours a day, 7 days a week, 365 days a year. You can call in and speak to a master's level consultant or you can go online to access information or email a consultant.
TRICARE: https://www.tricare.osd.mil

Information about your military health plan. Find military treatment facilities and other TRICARE resources here!
Exceptional Family Member Program:

Army Navy Air Force Marine Corps

Medical Summary - DD Form 2792


Educational Summary - DD Form 2792-1

Personal History Special Care Organization Record

Name:       Please call me:      

Date of Birth:       Blood Type:       Social Security #:     

Allergies:      

My Caregivers:      

Where copy of birth certificate is located:

     

Where copy of Social Security card is located:

     

Home Address:      

Phone#:       Fax#:       County:      

Emergency Contact Name:      

Emergency Contact Number:      

Mother’s Name:       Father’s Name:      

Social Security Number:       Social Security Number:      

Sponsor (Yes/No):       Sponsor (Yes/No):      

Address:       Address:      

Daytime/Evening Phone:       Daytime/Evening Phone:      

Cell Phone:       Cell Phone:      

Sibling’s Name:       Age:       Sibling’s Name:       Age:      

Sibling’s Name:       Age:       Sibling’s Name:       Age:      

Sibling’s Name:       Age:       Sibling’s Name:       Age:      

Other household members:      

Language spoken at home:       Other languages:      

My Birth Special Care Organization Record


When I was born:

(birth history, pregnancy, location, complications, neonatal hospitalization)

     

My diagnosis:

Date / Year

Diagnosis

     

     

     

     

     

     

     

     

     

     


My surgeries:

Date / Year

Procedure

Results

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     



Comments about Special Care Organization Record

My Diagnosis and
Surgeries


Comments about my diagnosis and surgeries:
     

Hospital Tracker Special Care Organization Record

Date

Hospital

Reason for admission

Notes

















































































































































































































































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