EI Session Note Form - humanservices co lancaster pa 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the Optional Local ID # if required, followed by the child's name and the date of the session.
  3. Fill in the provider/agency name, time in, time out, and units for accurate record-keeping.
  4. Select the type of service and session from the provided options, ensuring you choose all that apply.
  5. Document outcomes/goals from the IFSP/IEP and provide updates on child and family outcomes.
  6. Detail what was done during the session to address these outcomes, including strategies used and family participation.
  7. Record progress information/data collection to track development effectively.
  8. Outline plans for the next session and opportunities for practice to ensure continuity of care.
  9. Complete the Early Interventionist's name/title/signature/phone number, parent/caregiver name/signature, service coordinator name, and date of next session.
  10. Finally, include codes for any missed sessions as necessary.

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