Portable Medical Assessment

Portable Medical Survey

The Portable Medical Survey (PDF) can be filled out and used with students as a practical one-page, front and back, resource that outlines health issues and needs. It can be used as a tool to prompt discussion concerning self-advocacy and awareness-building of present health issues with the student and and other appropriate parties. Download the Portable Medical Survey (PDF). PDF files can be accessed with the free Adobe Acrobat Reader software.

This resource was developed by the Illinois Chapter of the American Academy of Pediatrics (ICAAP).

Photo: A young man smiling


This page was updated July 5, 2017