The sample record-keeping worksheet below can help you start a file of information about your child. As you contact different people and places, it's a good idea to keep records of people you've talked with and what was said. As time goes by, you will want to add other information to your file, such as:
* Letters and notes (from doctors, therapists, etc.);
* Medical records and reports;
* Results of tests and evaluations;
* Notes from meetings about your child;
* Therapist(s') reports;
* IFSP and IEP records;
* Your child's developmental history, including personal notes or diaries on your child's development;
* Records of shots and vaccinations; and
* Family medical histories.
Make sure you get copies of all written information about your child (records, reports, etc.). This will help you become an important coordinator of services and a better advocate for your child. Remember, as time goes on, you'll probably have more information to keep track of, so it's a good idea to keep it together in one place.
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Sample Record-keeping Worksheet
Problem/Topic:______________________________________________________________
Name of person or agency you talked to: _______________________________
Name of your contact person: _______________________________
(may be same as above)
Date you called:_______________________________
Phone #:_______________________________
Results of discussion:______________________________________________________________
Action taken:______________________________________________________________
(if any)
Person not helpful on this topic, but may be helpful regarding (list topics/areas/issues): ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
This information is copyright free and credited to the National Dissemination Center for Children with Disabilities (NICHCY).
For more information, please visit www.nichcy.org
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