Life Skills Task Boxes: Medical Forms

Life skills resources are important for students to work on real life experiences like filling out forms with their personal information for medical forms and health care purposes.

These Medical Form task boxes are perfect for hands-on learning in your special ed classroom!

This resource is designed to make functional life skills practice more concrete, engaging, and meaningful for your students!

HOW TO USE:

Print, laminate, and add the activities to task boxes, bins, folders, or work systems.

Once laminated, use dry erase markers with this activity for extended use.

Use this for independent work, teacher-led instruction, or repeated practice throughout the year.

10 UNIQUE FORMS!

The following info is included in various ways throughout the short forms:

• Reason For Visit: Why did you come to the doctors?
• Pharmacy Name
• Emergency Contact
• Insurance Company
• Policy Number
• Group Number
• First Name
• Last Name
• Date of Birth
• Gender
• Phone
• Street Number and Name
• City
• State
• Zip Code
• Race/Ethnicity
• Language
• Signature