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First Steps: Service Coordinator
Unit V Lesson 2: Documentation
Documentation is the center of the FS process. It can link everyone together so that a common understanding is gained for all team members. Documentation can be thought of as the "silent member" of the team. Although the records are incapable of speech, they can tell a very powerful and descriptive story. Documentation is one of the cornerstones of keeping the process on track and child centered.
Benefits for Record Keeping
Recording involves selection
The service coordinator has the opportunity to sort through the variety of information about the family and their situation as well as the services provided, focusing on documenting what is most important. This helps the service coordinator focus on the most important activities.
Recording involves organization
The service coordinator must arrange information topically and in sequence. Organized writing allows the service coordinator to think about the transactions logically and to help contemplate the relationship with the family.
Recording requires substantiation
The service coordinator, through recording, will substantiate fact, decision, and action. This helps clarify any gaps in information or distortions in how information is interpreted.
Recording involves analysis and synthesis
Analysis involves separating the whole into parts. Synthesis involves making connections between observations and inferences.
Recording may involve classification
The service coordinator may need to generalize the experience with the family/team and compare it with other experiences as a way of conceptualizing relationships.
Recording involves judgment
This process facilitates critical thinking. Here the service coordinator develops and tests hypotheses and evaluates action and impact.
Documentation for the Early Intervention Record
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Notice and Consents
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Eligibility form
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Physician’s Health Summary
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IFSP document
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Provider assessments and progress reports
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Service coordination case notes
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Any changes or addititions to the IFSP
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Third-party documentation (i.e., physician's records)
