Health Forms & Templates for Adults with Learning Disabilities | Wales — Get Checked Out North Wales

A stylized illustration of a medical professional in a white coat with a red cross pocket, wearing scrubs and a stethoscope. The background is green with white text in Welsh that reads, 'Gofalwch am eich ichyd', and a red word 'Cymru' at the bottom.

A cartoon figure of a medical professional with a stethoscope, wearing a white coat with a red cross, pointing to the text 'Get Checked Out' with 'Wales' in red underneath, set against a green background.

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Useful Forms for Adults

with a learning disability

A North Wales health services checklist form titled 'Get Checked Out.' It includes sections for filling in personal information like name, preferred option, date of birth, and important people. Instructions ask to fill the form and return it to the GP surgery, with illustrations of a checklist, medical staff, a calendar, a birthday cake, a family, a house with a phone, and an email icon.

For Your Annual Health Check

Information about making reasonable adjustments for health check appointments, including requesting easy read documents, large print, language support, and home visits, from a North Wales health services guide.

Infographic titled "Learning Disability Register Inclusion Tool" from North Wales, with checklist and questions to identify learning disabilities, including criteria, considerations, and screening questions for healthcare providers.

Useful forms for Hospital

A traffic light assessment form for hospital staff, with sections for allergies, language instructions, and color-coded information for red, amber, and green signals, including text in Welsh and English.

Forms for Medication

Educational poster about anticonvulsant medication for epilepsy, with illustrations of medicine bottle and pills, and a section explaining the purpose and importance of medication.

A colorful flyer titled 'Information about Medication' focusing on antibiotics, featuring a section to write the name of a medication, and an illustration of a medicine bottle and a pill bottle.

A health informational poster about medication, specifically antidepressant medication, with space to fill in the medication's name, and featuring a small illustration of a pill bottle and a spoon with liquid medication.