Subject: Parent's Record-keeping Worksheet Parent's Record-keeping Worksheet 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. 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): Parent Guide is published once a year. In addition, NICHCY disseminates other materials and can respond to individual requests for information. All services and publications are free. For further information and assistance, or to receive a NICHCY Publications List, contact NICHCY, P.O. Box 1492, Washington, DC 20013. Telephone: 1-800-695-0285 (Voice/TT) and (202) 884-8200 (Voice/TT). NICHCY thanks our Project Officer, Dr. Sara Conlon, at the Office of Special Education Programs, U.S. Department of Education, for her time in reading and reviewing this document and, as always, for her commitment to the Clearinghouse. Project Staff This information is copyright free, unless otherwise indicated. Readers are encouraged to copy and share it, but please credit the National Information Center for Children and Youth with Disabilities (NICHCY). Please share your ideas and feedback with our staff by writing to the Editor.
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