Before you call: my notes about my child
A printable from Child Mental Health Help. Fill it in by hand. Nothing you write is collected by this website.
Before you call: my notes about my child
- My child's age and school
- What I have noticed: sleep, eating, mood, school, friends, fears
- When it started, and if something happened then (a move, a loss, a detention in the family)
- How many days a week it happens
- Insurance: Medi-Cal, private plan or none
- The language our family wants to use
- Questions: "Is there a cost?" "How long is the wait?" "Will my child see the same person each time?" "What do you keep private?"
- Name of the person I spoke with, and the date
In a crisis, call or text 988. If a life is in danger right now, call 911. You do not have to write anyone's immigration status on this sheet.
From Child Mental Health Help. Facts checked October 21, 2026. Free information, not legal or medical advice.