Happenings
*
Appointment
Employment
Visit
Social Events
Behaviors
Academic (includes tutoring)
Extracurricular Activities
Other
Which Girls?
Ke'Shunna
Lamia
Valerie
Ramaya
Raven
Jasmine
Kimberly
Taylor
Appointment Type
Physical Exam
Hearing Exam
Dental Exam
Therapy
Vision Exam
Dr. Savage
Other
Social Events Type
Church
School
Recreation
Swimming
Fine Arts
Eating Out
Other
Visits Type
Sibling
Parent
DFCS
Sponsor
Phone Call
Other
Academic Supports Type
Help w/Homework
Tutoring
Talk w/Teachers
Culture
College Prep
Career Prep
Volunteer Mentors
Other
Date
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Month
-
Day
Year
Date
Time
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Hour
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59
Minutes
AM
PM
AM/PM Option
Is a followup needed?
Yes
No
Other
Followup Date
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Month
-
Day
Year
Date
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2
3
4
5
6
7
8
9
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11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Details
Behavior Details
Submit
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