Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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16 INTRODUCTION TO HEALTH AND DEVELOPMENT SECTION This section of the notebook contains information on the medical condition of your child. It includes: Milestones: indicates some of the things your child has achieved and the dates of these achievements and gives a place to list your child’s special talents and skills. Concerns About My Child’s Development: provides a list of concerns or questions you may have about your child’s growth or development. Evaluations: to provide information on your child’s eye, hearing, dental, speech/language, OT/PT, developmental and psychiatric tests and the results of those tests, including who gave the test. Family/Social Information: to provide information on family members who live with or care for your child, services for your child and family in the community and other information that would be helpful for medical providers to know about your family. Information for Genetic Family Tree: if your child’s illness or disability is genetic, this form provides a way to track genetic conditions within the family. This form also allows you to compile the information you need to draw your child’s own genetic family tree. Suggested Information to Include -- Immunization Records provided by pediatrician / PCP: attach a copy of your child’s most recent immunization record from his or her physician. -- Growth Charts -- Copies of Genetic Testing -- Copies of Genetic Family Tree (if available) © Junior League Family Resource Center 2005
CHILD’S NAME: DATE OF BIRTH: 17 MILESTONES Some of the following firsts may be delayed or may never be achieved in a child with a chronic condition or disability. If you have any questions or concerns, discuss them with your child’s physician. It may help to write your questions or concerns down before your child’s visit to the physician. Firsts Date Smiles Laughs out loud Holds head up Babbles Rolls over Sits alone Walks alone First tooth First word Puts words together Drinks from a glass or cup Eats solid food with fingers Uses a spoon Indicates needs to use toilet Toilet trained - bladder Toilet trained - bowel Dresses self Washes self Other firsts: ________________________ ________________________ ________________________ ________________________ Special talents or skills: _____________________________ ________________________________________________ ________________________________________________ ________________________________________________ © Junior League Family Resource Center 2005
Page 1 and 2: 1 Family Information Notebook (FIN)
Page 3 and 4: 3 TABLE OF CONTENTS Emergency Healt
Page 5 and 6: 5 INTRODUCTION TO EMERGENCY HEALTH
Page 7 and 8: CHILD’S NAME: DATE OF BIRTH: CURR
Page 9 and 10: CHILD’S NAME: DATE OF BIRTH: 9 BA
Page 11 and 12: CHILD’S NAME: DATE OF BIRTH: 11 A
Page 13 and 14: 13 MEDICAL POWER OF ATTORNEY I, ___
Page 15: 15 Health and Development • Intro
Page 19 and 20: Eye Exams 19 CHILD’S NAME: DATE O
Page 21 and 22: At home: 21 CHILD’S NAME: DATE OF
Page 23 and 24: 23 SUGGESTED INFORMATION TO INCLUDE
Page 25 and 26: 25 INTRODUCTION TO DAILY ROUTINE Th
Page 27 and 28: CHILD’S NAME: DATE OF BIRTH: 27 S
Page 29 and 30: 1. Equipment: Who provides (agency,
Page 31 and 32: CHILD’S NAME: DATE OF BIRTH: 31 M
Page 33 and 34: CHILD’S NAME: DATE OF BIRTH: 33 P
Page 35 and 36: CHILD’S NAME: DATE OF BIRTH: 35 T
Page 37 and 38: 37 INTRODUCTION TO EDUCATION / SCHO
Page 39 and 40: CHILD’S NAME: DATE OF BIRTH: Name
Page 41 and 42: Doctor Nurse Teacher CHILD’S NAME
Page 43 and 44: � TEIS Evaluations and ISPs � C
Page 45 and 46: INTRODUCTION TO RESOURCES / OPTIONA
Page 47 and 48: Your Child’s Educational Rights:
Page 49 and 50: 49 Kay Flowers, Complaints Consulta
Page 51 and 52: 51 State Special Schools Tennessee
Page 53 and 54: 53 TENNESSEE DEPARTMENT OF CHILDREN
Page 55 and 56: 55 ADDITIONAL EDUCATION AND HEALTH
Page 57 and 58: 57 SPECIAL EDUCATION MEDIATION REQU
Page 59 and 60: DUE PROCESS HEARING REQUEST FORM TE
Page 61 and 62: 61 INTRODUCTION TO APPENDICES SECTI
Page 63 and 64: Physical Therapist (PT): a licensed
Page 65 and 66: QUALITY HEALTH CARE • There are s
Page 67 and 68:
67 Month: _________________________
Page 69 and 70:
F Page Family Resource Center Conta
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Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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