Follow the steps to fill out the form correctly.

1. Press the ‘Get Form’ button to retrieve the form and open it in the online editor.
2. Enter the report period. Indicate the monthly timeframe when services were delivered, e.g., July 1 to July 31.
3. Select the service provided by marking the corresponding option, such as Home Based Casework or Visitation Facilitation.
4. Fill in the names of the referred parent(s) and child(ren) accurately as specified in the referral.
5. List any prohibited persons, including details of any protective orders affecting the visits.
6. Indicate the begin and end dates of the referral as stated on the referral form.
7. Identify the referral agency, specifying either the county DCS or probation office involved.
8. Provide the name of the current case manager or probation officer responsible for the case.
9. Detail the service provider staff member who administered visitation services during the reporting month.
10. Record the number of service units authorized and the number of units delivered by the end of the reporting period.
11. Outline the court-ordered visitation guidelines, including visits' frequency and duration.
12. Describe the visit schedule, including agreed details about timings, locations, and participants.
13. Specify whether visits were supervised or unsupervised and identify the supervising personnel.
14. List all activities that occurred during the visits and include any specific considerations that needed to be addressed.
15. Summarize the code of conduct for visits that has been established with participants.
16. Record the contact date, time, duration of the visit, method of contact, location, and individuals present.
17. Note the number of appointments canceled by the family and by the provider, as well as any no-shows.
18. Complete the sections requiring information about the reasons for referral, family strengths, and an overall summary of progress and recommendations.
19. Provide your signature and the date to validate the completion of the report.
20. Once all fields are filled out, save changes, and choose whether to download, print, or share the completed form.

Encourage others to efficiently complete their documents online for effective reporting.