Autism Spectrum Disorder (Asd) Safety Planning Packet (Page 2 of 4) in pdf

Autism Spectrum Disorder (Asd) Safety Planning Packet Page 2

(ASD) Emergency Contact Form

Date Submitted: Department of Transportation: ______ School: ________

Emergency Planning Checklist when calling 911:

□ Call 911 if your loved one with ASD is missing from your residence.

□ Clearly state the name of your family member for the 911 operator, when the child went missing

and the clothing s/he was wearing.

*State his/her Iowa State ID number and Note that his/her Iowa State ID number has

detailed information on how to help.

□ If your child is attracted to water tell operator immediately to dispatch personnel to nearby water

sources (rivers, pools, lakes/ponds, etc.).

□ State that they have Autism and give specifics of their concerns/needs (intellectual disability, no

sense of danger, non-verbal, etc.).

□ Provide tracking/monitoring device information (if applicable)

□ Provide information on age, height, weight and other unique features, (note if you have signed up

for facial recognition identification)

□ Request Amber Alert be issued for children/young people at risk for serious injury or death See

Link:

References and Resources utilized by the ASD Safety Committee Tanager Place May 2015

ASET- Autism Safety Education & Training:

o Video Link:

- Autism Risk & Safety Management: Dennis Debbaudt:

Autism Society of America:

autism/how-the-autism-society-can-help/safe-and-sound/safety-in-the-

home/

Autism Speaks:

safety-project/community/creating-safety-plans

LifeProtekt:

lifetips:

awareness/index.html

My Precious Kid- Child Safety:

National Autism Association:

Big Red Safety

Kit:

Project Lifesaver:

Autism Spectrum Disorder (Asd) Safety Planning Packet Page 2