Typical REPORT format or ALL consultations at the SMart Center.
DETAILS/Specifics and included attachments will differ based on specific consultation format chosen
Name:_____________________
Date:______________________
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Location:
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Current Situation:
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Plan:
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HOME:
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‘Everyday’ issues:
I.e. behavior problems, sleep/toileting/eating issues
Continued difficulties:
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Recommendations, goals/games for HOME or Everyday issues.
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REAL World:
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Present level of functioning in REAL WORLD setting, such as stores, parties, restaurants, stranger interaction… etc..
Continued difficulties:
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Social-Communication goals/games for REAL WORLD situations.
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SCHOOL:
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Present level of functioning in SCHOOL setting,
I.e. academics, social comfort/communication level with peers, teachers.
Continued difficulties:
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Social-Communication strategies, recommended accommodations, interventions, strategies for school related issues, addressing academics (if relevant)
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Office visit: Office visit highlights
Comments: Additional recommendations, suggestions… such as set up meeting with school for IEP changes, Handouts given out, Alternative therapy, medication changes, etc.
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