Get What Are The Outcome Summary Forms For New York State

Filling out the Child Outcomes Exit Summary Form is an essential step in the Early Intervention Program for children exiting services in New York State. This guide will provide you with clear instructions on how to accurately complete this form online, ensuring that all necessary information is submitted effectively.

Follow the steps to successfully complete the Child Outcomes Exit Summary Form.

1. Click ‘Get Form’ button to obtain the Child Outcomes Exit Summary Form and open it in your preferred platform.
2. Begin by entering the date the form is completed in the designated field using the format MM/DD/YYYY.
3. Fill in the child's name in the spaces provided. Make sure to include both the first and last name.
4. Enter the child's date of birth in the format MM/DD/YYYY.
5. Select the child's sex by checking either 'M' for male or 'F' for female.
6. Indicate the county, borough, or residence of the child, including the FIPS number if applicable.
7. Circle all appropriate members of the IFSP team who participated in completing the form, ensuring only one box is checked if individual forms are completed by each participant.
8. For each of the three functional areas, rate the child's status by circling the number that best describes current behaviors and skills for social emotional skills, knowledge acquisition, and action-taking.
9. For each rating, indicate if the child has shown any new skills or behaviors since the entry outcomes form was completed and provide descriptions of progress if applicable.
10. Check the appropriate boxes below to indicate the types of supporting evidence used by the IFSP team for each outcome area.
11. List the primary tests used as evidence for each outcome, writing the test numbers in the provided spaces.
12. If there are any other tests used that are not listed above, please write the name and edition of these tests in the designated box.
13. Review all entered information for accuracy and clarity, then save your changes, download, print, or share the form as needed.

Complete the Child Outcomes Exit Summary Form online today to ensure a smooth transition in the Early Intervention Program.