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Clinical Client Intervention List
Clinical Client Intervention
Clinical Client Intervention Update
Inquiry number
Name
Date of birth
1. Features of caregiver(During Intervention procedure)
Parent: Mother (MSL)
Difficult
Sensitive
Concerned
Unaware
Supportive
Denial
Demanding
Impolite
Language Barrier
Parent: Father (MSL)
Difficult
Sensitive
Concerned
Unaware
Supportive
Denial
Demanding
Impolite
Language Barrier
Caregiver (MSL)
Difficult
Sensitive
Concerned
Unaware
Supportive
Denial
Demanding
Impolite
Language Barrier
Whom communicate to: (MSL)
Mother
Father
Caregiver
Caregiver’s Name and relationship
Other information:
What approach is used?
Concerns of parent/patient*
Day 1 of investigation
Information received through parent/caregiver on client’s preference
Client observation: Preferences, concerns noted, associated issues
Information parallel therapist and supervisor to be aware of
Session plan upload with signature of the parent or client (if client is18 yr old or above)
Date
Plan upload
Tenure
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