Child Development Division Referral Specialist Best Practices ...
Child Development Division Referral Specialist Best Practices ...
Child Development Division Referral Specialist Best Practices ...
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<strong>Referral</strong> Parent Follow Up Report<br />
If a community agency chooses to complete their own referral parent follow up<br />
surveys, then that agency needs to submit a Parent Follow Up Report quarterly to<br />
CDD. The report needs to be submitted electronically to the Consumer Education and<br />
<strong>Referral</strong> Consultant in the month following the end of the quarter. The report will need<br />
to represent 20% of the parents who received services for that quarter. The reporting<br />
form and survey tool are as follows:<br />
20% REFERRAL PARENT FOLLOW UP REPORT<br />
Return to: Heather Mattison<br />
Email: heather.mattison@ahs.sat.vt.us<br />
Phone: 802-241-4551<br />
AGENCY:<br />
Completed by:<br />
Email:<br />
Quarter / Year:<br />
Number of referral calls<br />
Number of follow ups<br />
I. REFERRAL SERVICE<br />
Reached specialist immediately<br />
If no, within 48 hours<br />
Eary to get in touch with referral<br />
Knowledge increased<br />
<strong>Specialist</strong> able to answer ?’s<br />
Information helpful<br />
Yes No Not sure No answer<br />
Rating of <strong>Referral</strong> Service<br />
Excellent<br />
Good<br />
Fair<br />
Poor<br />
Comments:<br />
27
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