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Daily Parent Report

Have you schedueled your family session this week?

Parents/Guardian are responsible to schedule weekly*

Please note the type and describe of behavior with:

Following Directions
Controlling Emotions
Getting along with others
Anger Outburst
Isolate Behaviors
Other Behaviors?

A+ for positive Behavior/ A- for negative behavior

Client on any medications?
Has client taken any prescription medications, over the counter medications, or vitaminswithin the last 24 hours?
Were there any positive or negative behavioral changes after taking medication?
Client experiencing eating issues?
If yes, how often?
Client experiencing sleeping issues?
If yes, how often?
Client experiencing toileting issues?
If yes, how often?
Have your questions, comments or concerns been addressed?

I give consent to Cornerstone Treatment Center to review my response and upload into my client chart.

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