17-18 Assessments and File Checklist
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Family File Checklist New Parent
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ParentChild
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Home VisitorasdYR 1 2 3
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NotesCompleteLocalTHVHOPESA+2017-18 Assessment
X=required;
O=Program Strengthening/Recommended
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xxxxUNT IRB Consent
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xA+Consent
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xxTHV Consent
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xxxxFamily File Checklist
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x xxxFamily Application
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xxxxPretest - Bracken School Readiness Assessment
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xPretest - Parent Knowledge of ASD
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xxPretest - Parenting Check In
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xPretest - DECA
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xPretest - GARS
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xxxxPretest - Parent Inv. Interview - New Parents Only
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xxPretest - PFS/HIPPY Parent Surv. - New Parents Only
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0x0xPretest - PICCOLO
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000xPretest - HIPPY Parent Child Observation or A+ version
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x00x ASQ3/SE
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xMid - Edinburgh Depression Screening
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xMid - DECA - within 4 months
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xx Mid - Parenting Check In
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xMid - Domestic Violence Screener - within 6 months
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0x0Post - PICCOLO
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000xPost - HIPPY Parent Child Observation or A+ version
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xxxxPost - Family Update/Exit
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xxxxPost - Bracken School Readiness Assessment
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xxxxPost - Parent Involvement Int. - New Parents Only
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xxPost - PFS/HIPPY Parent Survey - New Parents Only
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xPost - Parent Knowledge of ASD
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xxPost - Parenting Check In
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sadfgxPost - DECA
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xPost - GARS
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Date & NotesDateHome Visits Records complete through pkt #
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NotesHome Visits Records complete through pkt #
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asdlkjfasdHome Visits Records complete through pkt #
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asdlkjfasdfFinal Check - HV Records complete through pkt 30
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Sheet1
Copy of Sample Backoffice view