• Be Kind Form for First Responders

    Introduce you and your family to your local first responders. e.g. Hello, our family would like to introduce you to our 27-year-old son who is living with autism. Please take a moment to learn about his behaviors so that we can avoid potential misunderstandings.
  • Be Kind Caregiver Form for



  • You have the option to leave this blank and fill it in after printing for privacy reasons.
  • Drug NameMilligramsDoseWhen givenPharmacy 
  • Safety Concerns

  • e.g. hits head, will bite others, runs into traffic
  • e.g. aggressive, fearful, overly trusting
  • Eating

  • Behaviors

  • This field is for validation purposes and should be left unchanged.