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 | Improve reading comprehension by two grade levels. Master multiplication and division tables up to 12. Enhance critical thinking skills.
| |
Behavioral Goals | | |
Social/Emotional Goals | | Peer interactions and group activities. Public speaking opportunities. Reflection and journaling.
|
Health and Well-being Goals | Improve physical fitness. Adopt balanced nutrition. Establish consistent sleep patterns.
| |
III. Support Services
Educational Support:
Special education services: IEP for reading support.
Accommodations: Extended time, preferential seating.
Therapeutic Support:
Medical Support:
IV. Communication Plan
V. Review and Progress Monitoring
Progress Monitoring:
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.
VI. Emergency Procedures
Emergency Plan:
In an emergency, adhere to the school's evacuation or lockdown protocols.
Contact emergency services if necessary.
Notify parents/guardians immediately via phone call or text message.
School staff trained in CPR and first aid will provide immediate assistance if needed.
Designated Emergency Meeting Point:
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] |
Plan Templates @ Template.net
