Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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68 INDEX OF FORMS A Page Administrative Complaint – TN Dept. of Education 58 Allergies 11 Allergies, Latex 12 Appendices Section, Introduction to 60-61 B Baseline Data 9 Bedtime Routine 34 Bill of Rights for Parents 64-66 C Calendars 67 Concerns About My Child’s Development 18 Contents & Introductions to Appendices Section 60-61 to Daily Routine Section 24-25 to Education / School Records 36-37 to Emergency Health Information 4-5 to Family Information Notebook 1-3 to Health and Development Section 15-16 to Resources / Optional Forms 44-45 Correcting My Child’s Student Records 56 D Daily Routine Section, Introduction 24-25 Development, Concerns About 18 Developmental Milestones 17 Due Process Hearing Request Form – TN Dept. of Education 59 E Education and Health Resources, Additional 55 Education/School Records Section, Introduction 36-37 Emergency Contact Information 6 Emergency Info Section, Introduction 4-5 Evaluations 19-20 © Junior League Family Resource Center 2005
F Page Family Resource Center Contact Information 2 Family / Social Information 21 G Genetic Family Tree, Information for 22 Glossary of Terms 62-63 H Health and Development Section, Introduction 15-16 I Important Contacts for Program/School 41 Important People in My Child’s Life 26 J Junior League Family Resource Center Contact Information 2 L Latex Allergies 12 M Mealtime Routine 31 Medical Information 7 Medical Power of Attorney 13 Medications 8 Medication Request Form – TN Dept. of Education 57 Milestones of Development 17 O Other Information to be Shared with Program / School 42 69 © 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 and 16:
15 Health and Development • Intro
Page 17 and 18: CHILD’S NAME: DATE OF BIRTH: 17 M
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: 67 Month: _________________________
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Family Information Notebook (FIN) - Vanderbilt Kennedy Center

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