Know Me Now

Health Passport

Share with healthcare professionals to communicate your needs

Start Now

If you want a paper copy, here are a few choices

NHS Passport

NAS Autism Passport

Autism Passport

Choose an Image Style

Realistic style

Realistic

Illustrated style

Illustrated

Easy on the i style

Easy on the i

No images style

No Images

About Me

My name is

my name

I like to be called

my birthday

My date of birth is

NHS number

My NHS number

my religion

What is your religion

my gender

My gender is

my nationality

My nationality and language

important people

The people important to me are

telephone

Telephone number for my carer

My Health

health diagnoses

My health conditions and diagnoses

mental health

My mental health

allergies

My allergies are

medication

My current medication

medical history

My medical history & treatments

My Needs

communication

How I like to communicate

medical procedures

How to help me during medical procedures

anxious

What helps me when I feel anxious

communicate pain

How I communicate pain

sensory

My sensory needs

likes and dislikes

My likes and dislikes are

additional info

Is there anything else a healthcare professional should know

How do you want to send it?

region

Select your region for local resources

Leeds Healthcare

Leeds

General NHS Services

Any Other Area

help

Who filled in this passport

Email address to send passport

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