Individual Care Plan For Child
Individual Care Plan For Child
Written by: [Your Name]
Date: [Date]
I. Child Information
Child's Name |
[Child's Name] |
Date of Birth |
[Date of Birth] |
Gender |
[Child's Gender] |
Contact Information |
[Child's Contact Number] |
Address |
[Child's Address] |
Parent/Guardian Name(s) |
[Child's Father's Name] [Child's Mother's Name] |
II. Goals and Objectives
Goals |
Interventions/Strategies |
|
---|---|---|
Educational Goals |
|
|
Behavioral Goals |
|
|
Social/Emotional Goals |
|
|
Health and Well-being Goals |
|
|
III. Support Services
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Educational Support:
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Special education services: IEP for reading support.
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Accommodations: Extended time, preferential seating.
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Therapeutic Support:
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Therapy services: Speech (2x/week), occupational (1x/week).
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Sessions: 45 minutes each.
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Medical Support:
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Medical care needs: Monitoring ADHD symptoms.
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Medication plan: Administered as prescribed before school mornings.
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IV. Communication Plan
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Primary Contact Person: [Primary Contact Person's Name]
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Contact Information:
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Email: [Primary Contact Person's Email]
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Phone: [Primary Contact Person's Phone Number]
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Preferred Method of Communication:
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Bi-weekly email updates summarizing progress and any concerns.
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Quarterly face-to-face meetings to review and adjust progress.
V. Review and Progress Monitoring
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Review Schedule: Quarterly
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Progress Monitoring:
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Method: Regular assessments, teacher observations, and parent feedback.
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Criteria for evaluating success: Achievement of specific goals outlined in each domain (educational, behavioral, social/emotional, health/well-being), demonstrated improvement in targeted areas, and overall positive adjustment and development.
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VI. Emergency Procedures
Emergency Plan:
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In an emergency, adhere to the school's evacuation or lockdown protocols.
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Contact emergency services if necessary.
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Notify parents/guardians immediately via phone call or text message.
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School staff trained in CPR and first aid will provide immediate assistance if needed.
Designated Emergency Meeting Point:
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The designated emergency meeting point is the school's assembly area located at the front of the building near the main entrance.
VII. Signatures
This Individual Care Plan for the Child has been reviewed and agreed upon by:
Parents: |
Mother: |
Child: |
[Father's Name] [Father's Address] |
[Mother's Name] [Mother's Address] |
[Child's Name] [Child's Address] |