Early Support
All About Me
This is a picture of me
My Name is:
I like to be known as:
I/We completed this on:
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
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Information about me and my family
Full name:
Parent or carer names
Date of birth:
Telephone:
(indicate parental responsibility)
Mobile:
NHS number:
Email:
Other relevant registration
numbers (e.g. education)
School/ College/ work
details (if appropriate)
Contact address:
Language used at home
Main communication method
Detail any language interpretation or
communication support needed
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
2
The following times are best/difficult for me and/or my family to attend appointments or meet
professionals
The following things are best/difficult for me and/or my family to attend appointments or meet
professionals
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
3
All About Me
Current photo of me
(to be completed by or on behalf of the child or young person)
What people like and admire about me
What’s important to me
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
4
What makes me happy
How I communicate
How you can support me best
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
5
The important people in my life
1 Name and
relationship
Photograph
2 Name and
relationship
Photograph
3 Name and
relationship
Photograph
4 Name and
relationship
Photograph
5 Name and
relationship
Photograph
6 Name and
relationship
Photograph
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
6
Things that are important to my family
Other information that me and my family want to share
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
7
Me and my family’s long term dreams, hopes and aspirations
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
8
People that we are happy to share this document with
Name
Role
Name
Role
Signed
Parent/Carer
Date
Parent/Carer
Date
This document should not be shared with anyone other than the people listed without asking the child/young person or their parent/carers first
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