AT Contact & Meeting Log
Student ID
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Student Name
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First Name
Last Name
Contact Log
Select Task
Assigned Team Member
Date Completed
1
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
2
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
3
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
4
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
5
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
6
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
7
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
8
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
9
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
10
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
11
Consent Form Sent to Guardian
Consent Form Returned - Granted
Consent Form Returned - Denied
Assessment Date(s) Finalized
Guardian Notified of Assessment Date
Information Gathering Forms Sent to Team
Information Forms Returned
Assessment/Recommendation Meeting Scheduled
AT Trial Loaner Equipment
AT Implementation Planning Meeting Scheduled
Progress Monitoring Review Scheduled
Other Contact Log Tasks
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