INVOICE TOTAL $0.00 FIELD ENTRY INFORMATION TYPE Use this field for If the “Vocational Consultation.” Bilingual Supplement has been approved and authorized SERVICE DESCRIPTION DROP for the case select or Vocational “Bilingual Consultation” (UOS SERVICES) DOWN option. This field will load the associated rates, individual and/or group, as applicable. Field is calculated based on information entered into the SERVICE AREA MODIFIER report form. Providers may not edit this field. Field is calculated based on information entered into the INVOICE TOTAL report form. Providers may not edit this field. SPECIFIC TASKS THAT SHOULD Need to measure academic skills to determine if vocational goal is BE COMPLETED AS PART OF THE appropriate. Please administer the TABE or WRAT to determine SERVICE. IF SPECIFIC basic reading, writing, and mathematics levels. VOCATIONAL TESTS ARE USED THE SCORES & RESULTS SHOULD BE ATTACHED. FIELD ENTRY INFORMATION TYPE Information obtained from the Referral to Facility. VR SPECIFIC TASKS THAT SHOULD BE COMPLETED AS Counselors/VR Contractors should enter what you specially want the Provider to do accomplish as part of the PART OF THE SERVICE. IF SPECIFIC VOCATIONAL service. Consult the VR Fee Schedule to determine TEXT specifically what types of activities are allowed as part of TESTS ARE USED THE SCORES & RESULTS SHOULD the service. BE ATTACHED. CONTACTS & SUMMARY OF STEPS START END SAM SUMMARY OF TAKEN STAFF DATE UNITS TIME TIME Level ISSUE(S)/CONCERN(S) TO RESOLVE INITIALS ISSUE(S)/CONCERN(S) 0 0 FIELD ENTRY INFORMATION TYPE DATE FIELD Enter the date that the service took place. DATE MM/DD/YY (REQUIRED FIELD) Enter the time that the actual service started, not the TIME FIELD START TIME scheduled start time. AM/PM (REQUIRED FIELD)
INVOICE TOTAL $0.00 FIELD ENTRY TYPE INFORMATION SERVICE DESCRIPTION (UOS SERVICES) DROP DOWN Use this field for “Vocational Consultation.” If the Bilingual Supplement has been approved and authorized for the case select or “Bilingual Vocational Consultation” option. This field will load the associated rates, individual and/or group, as applicable. SERVICE AREA MODIFIER Field is calculated based on information entered into the report form. Providers may not edit this field. INVOICE TOTAL Field is calculated based on information entered into the report form. Providers may not edit this field. SPECIFIC TASKS THAT SHOULD BE COMPLETED AS PART OF THE SERVICE. IF SPECIFIC VOCATIONAL TESTS ARE USED THE SCORES & RESULTS SHOULD BE ATTACHED. Need to measure academic skills to determine if vocational goal is appropriate. Please administer the TABE or WRAT to determine basic reading, writing, and mathematics levels. FIELD ENTRY TYPE INFORMATION SPECIFIC TASKS THAT SHOULD BE COMPLETED AS PART OF THE SERVICE. IF SPECIFIC VOCATIONAL TESTS ARE USED THE SCORES & RESULTS SHOULD BE ATTACHED. TEXT Information obtained from the Referral to Facility. VR Counselors/VR Contractors should enter what you specially want the Provider to do accomplish as part of the service. Consult the VR Fee Schedule to determine specifically what types of activities are allowed as part of the service. DATE START TIME END TIME UNITS SAM Level SUMMARY OF ISSUE(S)/CONCERN(S) CONTACTS & SUMMARY OF STEPS TAKEN TO RESOLVE ISSUE(S)/CONCERN(S) STAFF INITIALS 0 0 FIELD ENTRY TYPE INFORMATION DATE DATE FIELD MM/DD/YY Enter the date that the service took place. (REQUIRED FIELD) START TIME TIME FIELD AM/PM Enter the time that the actual service started, not the scheduled start time. (REQUIRED FIELD)