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Restraint documentation form 2026
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- Click ‘Get Form’ to open the restraint documentation form in the editor.
- Begin by entering your name and title in the designated fields, along with the date of completion.
- Fill in the student information section, including the student's name, school building, and any known medical conditions. If applicable, provide a brief description of the condition.
- Document the problem behavior by noting the date it occurred and describing any antecedents or triggers that led to the behavior.
- Detail the behavior itself, including its frequency and intensity, and explain how it posed an imminent risk to safety.
- Record prior interventions attempted before seclusion or restraint was used, including their duration.
- Indicate whether seclusion or restraint was used, along with details such as start time, staff involved, location of intervention, and a description of what was done.
- Note the length of time for both seclusion and restraint. If extended time was necessary, provide justification for this extension.
- Describe the student's response to the intervention and document any injuries sustained during this process.
- Complete follow-up details with the student after intervention and record contact with parent/guardian regarding reporting.
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