Ian Campbell (Autism) As of: ____

Male, _ years old, _ feet, _ inches, _ pounds _ eyes, _ hair, and no scars or identifying marks.

PHOTO HERE!

Parents are _ (father) and _ (mother) _.

HOME ADDRESS AND PHONE NUMBERS HERE!

Emergency Contact Persons:

NAME AND CONTACT INFORMATION HERE!

Ian has autism and is completely non-verbal. He cannot speak to give his name or any other contact information. He communicates by use of an iPad augmentative communication device, some sign language, and by gestures and pointing. If he wants something (usually food), he will pull you (sometimes forcefully) to where he knows it is stored. He will not necessarily look at you, even when you call him by name. He does yell, holler and babble some jargon, but that mostly occurs when he is excited or playing with a string-like object. He cries or pouts for a short time when he does not get what he wants, which is his frustrated way of communicating. Ian usually does react when you call his name and will take a hand to be led from a dangerous situation. He can also be very innocently trusting, even of strangers. Ian does not carry or wear any identification, since he is rarely left by himself.

Ian has very sensitive hearing. Sirens and loud noises should be avoided, since he will likely run away from them. He will place his hands over his ears or use his headphones, if a noise upsets him. He will cry if it gets too intense, until he can get away from the noise. He is sensitive to having shoes put on his feet, but he has no other peculiar sensitivities. He has a very high tolerance for pain. If he reacts badly to any situation, allow him to curl up in a soft, quiet place. When tired or agitated, he chews on a pacifier or Chewy-T to calm himself down and put himself to sleep.

Ian rarely elopes or runs off, except when he sees or is looking for string-like object (includes string, twine, rope, phone cords, ribbon, tape, socks and anything else that he can get to go around and around) to twirl in front of himself. He has wandered only if not very closely supervised and if away from home in a strange or different location, but he has never left our home property. He is drawn to pools of water, but he has not yet learned to independently float or swim. Normally, he only plays in the water with his hands. He also likes to climb, going up and down with relatively good balance and coordination, but he is unfortunately not afraid of heights.

Ian’s autistic behaviors or characteristics include spinning string-like objects in front of him, manipulating his fingers and watching them if he cannot find any string, some hand or arm flapping and some spinning of his whole body. He will go to great lengths and heights to get a piece of string or anything like it. He does grind his teeth and chew on things when he is stressed or tired. This does not hurt him, but it allows him to calm down. As an alternative to grinding his teeth, we give him a pacifier or Chewy-T to chew on, so he can calm himself down. He normally does not display any self-injurious or aggressive behaviors at all.

Ian has no known allergies. His only prescribed medication is Miralax/ Glycolax for constipation. However, he is on a gluten (whole grains) and casein (dairy) free diet. So, he should not be given any cookies, bread, or any dairy products, which only results in slightly elevated hyperactivity if he does eat any of these foods or milk. He takes a number of digestion, vitamin and mineral food supplements with each meal. He can and likes to eat French fries, rice cakes, potato and corn chips, but they cannot have any cheese additives or flavorings on them. His favorite beverages are vanilla-flavored rice drink and fruit juice.

Ian is in the eleventh-grade at an autism self-contained classroom at __. The main phone number is _. His primary special education teacher is _, and the phone number to the classroom is _.

Ian’s bedroom is in the front, left (northeast) corner of the house, looking at it from the street. If he cannot be immediately located in the event of a fire, firefighters should enter the left-most large window on the front of the house, which is his bedroom; since he may be hiding in his bedroom and not concerned with the fire danger due to his autism.