Monthly Service LoReflecting Month/Year 02-13-2029 Client Name Brianna Bonner Service Type Respite Service Provider Name Geraldine Ratclifg Health/Medical (How did your client feel/appear this week?): Brianna appears to be in good health and happy Clients Goal (Located at the top of your timesheet): Brianna needs respite care to relieve parents Progress made towards accomplishing goal: Brianna and I I working on keeping her hands to herself and hot and cold water when she takes a bath I am showing her how to make her bath water Education provided to individual during the month: I will let Brianna going to the bathroom to make her bath water I will then test the water. And then I will let her test the water to see if it is too hot or too cold she would test the water with her fingertips Exposure and experience provided to individual (recreational, outings, community involvement,etc.): I talked to Brianna about keeping her hands to herself at all times because everyone does not like to be touched if you have a question you want to ask a person ask them just do not touch them Choices/preferences were exercised this month: Brianna makes the choices aware she would like to go rather it's to the movies the park City Place the mall I give her two choices to pick from Brianna likes the park because she likes to feed the birds and the fish and look at the big boats that come in on Singer island Behavioral concerns: No Next step: Review past lesson Signature DateTime 02/13/2019 15:21g

Reflecting Year/Month *

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Progress Month

Client Name *

First Name Last Name

Service Type *

Service Provider Name *

First Name Last Name

Health/Medical (How did your client feel/appear this week?): *

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Clients Goal (Located at the top of your timesheet): *

Progress made towards accomplishing goal: *

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Education provided to individual during the month: *

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Exposure and experience provided to individual (recreational, outings, community involvement,etc.): *

0/0

Choices/preferences were exercised this month: *

0/0

Behavioral concerns: *

Yes No

If Yes, please explain:

Next step: *

Signature

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DateTime

Monthly Service Log