Assessment Active Client File Review All Programs Evaluation in days the or 30 tracking) tracking) tracking) Data Juvenile time client client every client to each Information seen Information Tracking activities, of Assessment Participate least is Reports at to with (matches (matches (matches the results Client of family Release Date of Produced Medication Reason Consent Form Source Record Progress / for copy Counselors duration, and/or Copy of applicable) applicable) applicable) Medical Written Admission Referral Referral Referral Consent Contact Hard Record Copy Evaluation Client Name Parental youth (if (if times, (if 1. 2. 3. 4. 5. 6. 7. 8.
Active Client File Review All Programs Assessment Evaluation Client Name Admission Date (matches client tracking) Referral Form Referral Source (matches client tracking) Referral Reason (matches client tracking) Parental Consent to Participate Medical / Medication Information (if applicable) Consent for Release of Information (if applicable) Contact Record with activities, times, duration, results each time the youth and/or family is seen Hard Copy of Client Tracking Data in Record Copy of Progress Reports to Juvenile Counselors at least every 30 days (if applicable) Written copy of the Assessment or Evaluation Produced 1. 2. 3. 4. 5. 6. 7. 8.
JCPC_OM_003D%20Monitoring%20Review%20Report%20Supplement_Assessment%20Evaluation%20Services.docx