Session Summary Tracking Log
Staff Name
*
First Name
Last Name
Position
*
Client Name
*
First Name
Last Name
Service Code
*
Date of Session
*
-
Month
-
Day
Year
Date Picker Icon
In attendance
*
Was this session cancelled? If yes, please skip down to next section regarding cancelled sessions.
*
Yes
No
BI Arrives
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Client Session Start Time
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2
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4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
BI Leaves
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Client Session End Time
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Client's Overall Compliance
Compliant 25-50% of session
Compliant 50-75% of session
Compliant 75-100% of session
Client's Overall Performance
Compliant 25-50% of session
Compliant 50-75% of session
Compliant 75-100% of session
New Skill Development Worth Noting
Areas Requiring Attention
Behaviors
Drills
Parent Concerns
Environmental Factors
Other: See Below
Areas Requiring Attention OTHER
Additional Information
Cancelled Session
If Session was cancelled, who cancelled session?
Parent
Behavior Interventionist
If session was cancelled, please input suggested make up times here
If session was cancelled please input approved make up sessions here, if none are approved please state "Parent did not approve m/u times"
Parent Signature
Clear
Submit
Should be Empty: