Free printable visual supports

Practical pages.
Ready to use.

Free visual communication cards in English, Spanish, and French, plus twelve school, safety, and hospital sample pages. No email required.

See the child
before the behavior.

Practical tools.
Individual understanding.

Original tools. Freely shared.

Free visual communication cards

Designed around Rocco. Shared for the moments when someone has something to say and needs another way to express it.

Ashlee created these original illustrated cards for her Visual Support Tools series, with the child illustrations modeled on her son, Rocco. Her hope is that sharing them freely gives other children and the adults supporting them a practical place to begin.

59 different cards. 15 printable sheets. Three languages. The matching card sets from the three books have been combined into one collection with no repeated cards. The illustrations are preserved; Spanish and French change the labels, not the pictures.

No email address, account, or purchase required.

Preview of the illustrated Yes, No, Stop, and Help communication cards
Original illustrated cards from the books, modeled on Rocco.

These are standalone translations of the card labels. The books and the rest of the website have not been fully translated. Vocabulary varies between regions; choose words the person recognizes.

Use these cards alongside the person’s existing communication methods and individual support. A picture is not proof of understanding or consent, and a card set does not replace a communication assessment, clinical care, or emergency procedures. Prepare a communication handoff or find communication and AAC support.

Printing, choosing pages, and using the collection

The PDF begins with one instruction page. PDF pages 2–6 cover communication, body needs, and feelings; pages 7–11 cover people, vehicles, places, hygiene, and comfort; page 12 covers care and assessment; pages 13–16 cover body parts.

Print only the pages you want. The files use US Letter pages. For A4 or other paper, choose “Fit” and check the preview. Keep each label with its picture. You can use a complete sheet or cut individual cards.

The care cards are communication prompts, not medical instructions. “Medicine,” “bandage,” and “lollipop” do not recommend offering those items. Follow the person’s care plan and the professional team’s procedures.

Free for personal, classroom, and care support use with creator credit. Read the resource use terms. The PDFs contain illustrations and are not fully tagged; the readable lists below provide every card label and a description of each picture.

English card list and picture descriptions

Each label appears once in the collection. These descriptions explain what is shown; they do not determine what the picture means to an individual person.

Essential communication

PDF page 2

  • YES — Child giving a thumbs-up.
  • NO — Child crossing their arms to signal no.
  • STOP — Child holding up an open hand.
  • HELP — Child reaching toward an offered hand.

Time and regulation

PDF page 3

  • WAIT — Child beside a clock.
  • BREAK — Child resting in a sensory space.
  • QUIET — Child holding a finger to their lips.
  • ALL DONE — Child holding a completed visual checklist.

Body needs

PDF page 4

  • HURT — Child pointing to a sore arm.
  • SICK — Child with a thermometer and a hand on their forehead.
  • THIRSTY — Child drinking water.
  • HUNGRY — Child holding food.

Feelings

PDF page 5

  • HAPPY — Smiling child.
  • SAD — Child with a sad expression.
  • ANGRY — Child with an angry expression.
  • SCARED — Child with a frightened expression.

Feelings and comfort

PDF page 6

  • SHY — Child with a shy expression.
  • TIRED — Yawning child.
  • HOT — Child using a fan.
  • COLD — Child hugging their arms against the cold.

People and home

PDF page 7

  • MOM — Mother illustration.
  • DAD — Father illustration.
  • HOME — House.

Emergency professionals

PDF page 8

  • POLICE OFFICER — Police officer.
  • FIREFIGHTER — Firefighter.
  • DOCTOR — Doctor.
  • NURSE — Nurse.

Vehicles

PDF page 9

  • POLICE CAR — Police car.
  • AMBULANCE — Ambulance.
  • FIRE TRUCK — Fire truck.
  • CAR — Car.

Places, toileting, and hygiene

PDF page 10

  • HOSPITAL — Hospital building.
  • POTTY — Toilet.
  • PULL-UP — Absorbent pull-on underwear.
  • WASH HANDS — Child washing their hands.

Comfort and care items

PDF page 11

  • TOY — Sensory toy.
  • COMFORT ITEM — Child holding a soft toy.
  • BANDAGE — Adhesive bandage.
  • LOLLIPOP — Lollipop candy.

Care and assessment

PDF page 12

  • CHECK BODY — Adult examining a child.
  • MEDICINE — Medicine bottle and syringe.
  • SAFE — Child with a reassuring expression.
  • PRIVATE AREA — Child indicating their private body area.

Body parts: head and face

PDF page 13

  • HEAD — Child touching their head.
  • EYES — Child pointing to their eyes.
  • EARS — Child pointing to their ears.
  • NOSE — Child pointing to their nose.

Body parts: mouth and torso

PDF page 14

  • MOUTH — Child pointing to their mouth.
  • THROAT — Child pointing to their throat.
  • CHEST — Child touching their chest.
  • BELLY — Child touching their belly.

Body parts: arms and back

PDF page 15

  • SHOULDERS — Child indicating their shoulders.
  • ARMS — Child indicating an arm.
  • ELBOWS — Child indicating an elbow.
  • BACK — Child showing their back.

Body parts: hands, legs, and feet

PDF page 16

  • HANDS — Child showing their hands.
  • LEGS — Child indicating their legs.
  • KNEES — Child indicating a knee.
  • FEET — Shoes illustrating feet.
Lista de tarjetas en español

Los términos pueden variar según el país. “Paleta / piruleta” se refiere al caramelo de la imagen. Las formas masculinas y femeninas se muestran cuando corresponde. Las descripciones de las imágenes están en la lista en inglés.

English picture descriptions

Comunicación esencial

PDF page 2

  • SÍ (YES)
  • NO (NO)
  • ALTO (STOP)
  • AYUDA (HELP)

Tiempo y regulación

PDF page 3

  • ESPERAR (WAIT)
  • DESCANSO (BREAK)
  • SILENCIO (QUIET)
  • TERMINÉ (ALL DONE)

Necesidades del cuerpo

PDF page 4

  • ME DUELE (HURT)
  • ME SIENTO MAL (SICK)
  • TENGO SED (THIRSTY)
  • TENGO HAMBRE (HUNGRY)

Emociones

PDF page 5

  • FELIZ (HAPPY)
  • TRISTE (SAD)
  • ENOJADO / ENOJADA (ANGRY)
  • ASUSTADO / ASUSTADA (SCARED)

Emociones y bienestar

PDF page 6

  • TÍMIDO / TÍMIDA (SHY)
  • CANSADO / CANSADA (TIRED)
  • TENGO CALOR (HOT)
  • TENGO FRÍO (COLD)

Personas y hogar

PDF page 7

  • MAMÁ (MOM)
  • PAPÁ (DAD)
  • CASA (HOME)

Profesionales de emergencias

PDF page 8

  • POLICÍA (POLICE OFFICER)
  • BOMBERO / BOMBERA (FIREFIGHTER)
  • MÉDICO / MÉDICA (DOCTOR)
  • ENFERMERO / ENFERMERA (NURSE)

Vehículos

PDF page 9

  • COCHE DE POLICÍA (POLICE CAR)
  • AMBULANCIA (AMBULANCE)
  • CAMIÓN DE BOMBEROS (FIRE TRUCK)
  • COCHE (CAR)

Lugares, baño e higiene

PDF page 10

  • HOSPITAL (HOSPITAL)
  • BAÑO (POTTY)
  • PAÑAL TIPO ROPA INTERIOR (PULL-UP)
  • LAVARSE LAS MANOS (WASH HANDS)

Objetos de bienestar y cuidado

PDF page 11

  • JUGUETE (TOY)
  • OBJETO QUE ME CALMA (COMFORT ITEM)
  • APÓSITO ADHESIVO (BANDAGE)
  • PALETA / PIRULETA (LOLLIPOP)

Cuidado y revisión

PDF page 12

  • REVISAR EL CUERPO (CHECK BODY)
  • MEDICAMENTO (MEDICINE)
  • A SALVO (SAFE)
  • PARTES ÍNTIMAS (PRIVATE AREA)

Partes del cuerpo: cabeza y cara

PDF page 13

  • CABEZA (HEAD)
  • OJOS (EYES)
  • OREJAS (EARS)
  • NARIZ (NOSE)

Partes del cuerpo: boca y torso

PDF page 14

  • BOCA (MOUTH)
  • GARGANTA (THROAT)
  • PECHO (CHEST)
  • BARRIGA (BELLY)

Partes del cuerpo: brazos y espalda

PDF page 15

  • HOMBROS (SHOULDERS)
  • BRAZOS (ARMS)
  • CODOS (ELBOWS)
  • ESPALDA (BACK)

Partes del cuerpo: manos, piernas y pies

PDF page 16

  • MANOS (HANDS)
  • PIERNAS (LEGS)
  • RODILLAS (KNEES)
  • PIES (FEET)
Liste des cartes en français

Les mots peuvent varier selon les régions. “Sucette (bonbon)” désigne le bonbon de l’image. Les formes masculines et féminines sont indiquées lorsque nécessaire. Les descriptions des images figurent dans la liste en anglais.

English picture descriptions

Communication essentielle

PDF page 2

  • OUI (YES)
  • NON (NO)
  • STOP (STOP)
  • AIDE (HELP)

Temps et régulation

PDF page 3

  • ATTENDRE (WAIT)
  • PAUSE (BREAK)
  • SILENCE (QUIET)
  • C’EST FINI (ALL DONE)

Besoins du corps

PDF page 4

  • J’AI MAL (HURT)
  • JE SUIS MALADE (SICK)
  • J’AI SOIF (THIRSTY)
  • J’AI FAIM (HUNGRY)

Émotions

PDF page 5

  • HEUREUX / HEUREUSE (HAPPY)
  • TRISTE (SAD)
  • EN COLÈRE (ANGRY)
  • J’AI PEUR (SCARED)

Émotions et bien-être

PDF page 6

  • TIMIDE (SHY)
  • FATIGUÉ / FATIGUÉE (TIRED)
  • J’AI CHAUD (HOT)
  • J’AI FROID (COLD)

Personnes et maison

PDF page 7

  • MAMAN (MOM)
  • PAPA (DAD)
  • MAISON (HOME)

Professionnels des urgences

PDF page 8

  • POLICIER / POLICIÈRE (POLICE OFFICER)
  • POMPIER / POMPIÈRE (FIREFIGHTER)
  • MÉDECIN (DOCTOR)
  • INFIRMIER / INFIRMIÈRE (NURSE)

Véhicules

PDF page 9

  • VOITURE DE POLICE (POLICE CAR)
  • AMBULANCE (AMBULANCE)
  • CAMION DE POMPIERS (FIRE TRUCK)
  • VOITURE (CAR)

Lieux, toilettes et hygiène

PDF page 10

  • HÔPITAL (HOSPITAL)
  • TOILETTES (POTTY)
  • COUCHE-CULOTTE (PULL-UP)
  • SE LAVER LES MAINS (WASH HANDS)

Objets de réconfort et de soin

PDF page 11

  • JOUET (TOY)
  • OBJET RÉCONFORTANT (COMFORT ITEM)
  • PANSEMENT (BANDAGE)
  • SUCETTE (BONBON) (LOLLIPOP)

Soins et examen

PDF page 12

  • EXAMINER LE CORPS (CHECK BODY)
  • MÉDICAMENT (MEDICINE)
  • EN SÉCURITÉ (SAFE)
  • PARTIES INTIMES (PRIVATE AREA)

Parties du corps : tête et visage

PDF page 13

  • TÊTE (HEAD)
  • YEUX (EYES)
  • OREILLES (EARS)
  • NEZ (NOSE)

Parties du corps : bouche et torse

PDF page 14

  • BOUCHE (MOUTH)
  • GORGE (THROAT)
  • POITRINE (CHEST)
  • VENTRE (BELLY)

Parties du corps : bras et dos

PDF page 15

  • ÉPAULES (SHOULDERS)
  • BRAS (ARMS)
  • COUDES (ELBOWS)
  • DOS (BACK)

Parties du corps : mains, jambes et pieds

PDF page 16

  • MAINS (HANDS)
  • JAMBES (LEGS)
  • GENOUX (KNEES)
  • PIEDS (FEET)
Translation references and review

Checked October 1, 2026. The labels were cross-checked in context using established language references, including Cambridge English–Spanish Dictionary, Larousse English–French Dictionary, and RAE–ASALE Spanish dictionary. These organizations have not reviewed or endorsed this card collection. The translations have not received independent professional certification.

The original illustrations and English labels were checked against the card sections of all three books. Duplicated cards were included once. Contact Ashlee about a wording correction.

Free planning and support samples

No purchase or email address required. These are sample pages from the published books. Download the PDFs to view and print them. Keep completed pages private; do not send personal or medical information through this website.

Text companions to the sample pages

The summaries below describe the fields and prompts in each PDF in readable web text. The original PDFs are printable worksheets; some pages contain text as images and may be difficult to use with a screen reader.

School sample pages

Page 1: Parent/guardian home communication

Child’s name; date; person completing the note. How yesterday went after school: arrival home, anything the child communicated about school, mood, activities, sensory concerns, and sleep. Morning snapshot: mood, appetite, and important reminders for staff.

Page 2: School/program-to-home communication

Child’s name; grade; date; staff/caregiver; homeroom teacher. Mood on arrival; food and appetite; challenges; enjoyable moments; activities; IEP goals addressed; hygiene and toileting; peer interactions; special subjects; and comments for the parent or guardian.

Page 3: IEP information and important dates

Student’s name; IEP date; next review date. Team member names and email addresses, followed by space to record important dates.

Page 4: Therapy communication

A table with columns for the date, type of therapy, therapist/provider name, and summary of the session.

Explore Come On, Rocco, It’s Time for School →

First responder sample pages

Page 1: Child-specific emergency profile: page 1

Current photograph; full name and familiar name; date of birth/age; approximate height and weight; home address; parent/caregiver names; primary and secondary phone numbers. Communication methods: reliable speech, some words, nonverbal communication, a device, pictures/gestures, or possibly no response. Helpful words, pictures, songs, videos, or sounds; languages understood or used.

Page 2: Child-specific emergency profile: page 2

Likely destinations or attractions; hiding places and previous locations where the child was found; running, hiding, freezing, or responses to pursuit; touch preferences and approach considerations; sensory triggers and calming interests; relevant medical needs, allergies, pain communication, and ingestion risks; locating device or identification; school/program contact; last update date; person completing the profile.

Page 3: Responder-to-family encounter log

Date/time; agency/unit; responder contact; location found; environmental conditions and hazards; observations when located; approach and supports that helped; possible medical concerns; assessment or transport information; reunification details; and recommended follow-up. Follow the agency’s reporting and privacy requirements.

Page 4: Family-to-responder safety update

Child’s name and update date. Changes to exit skills, destinations, routes, communication, health needs, sensory responses, appearance, identification, or helpful supports. Describe the change, what responders should know, likely locations or hazards, helpful words/visuals/people/objects, and caregiver contact details.

Explore Come On, Let’s Find Rocco →

Hospital sample pages

Page 1: Pediatric emergency snapshot

Child’s name/name used; date of birth/age; approximate height and weight; communication methods; what yes, no, pain, and illness may look like; usual behavior and movement; safety needs; helpful touch or positioning; sensory needs; comfort items or people; today’s caregiver update; and caregiver contact. Staff must verify clinical details in the hospital record.

Page 2: Safety and support profile

Elopement risk; pica or mouthing risk; seizure plan; allergies; medicines and conditions; what helps; what makes things harder; items not to offer without asking; comfort items; and the primary support person.

Page 3: What happened today

Date and time; what happened; any possible object or substance involved; amount, size, and material if known; symptoms or changes; who witnessed the event; and instructions already received from Poison Control or emergency medical services.

Page 4: What worked today?

Successful words or visuals; positioning; people and roles; equipment tolerated; sensory changes that helped; what increased distress; and what to try first at the next visit.

Explore Come On, Rocco, Let’s Go to the Hospital →

Use the samples alongside individual support

Not sure who to ask? Explore support pathways.

Complete only what is useful, keep the information current, and share it through the school’s, agency’s, or healthcare service’s agreed process. The forms do not replace required records, assessments, or professional procedures.