Refer to Implementation Timeline to see specific due dates and which of the following assessments are required per funding sources.
PRE-TEST - BEFORE PACKET 1
- Consent Forms (use all applicable): UNT IRB, A+, THV (English - Spanish)
- Family File Checklist form (print "portrait" style, scale "fit to page")
- this form is critical! Use it to ensure you are using all the correct forms per funding source(s) you receive
- Family Application form in English or Spanish (same form used as update/exit)
- Bracken - use kit
- Parent Knowledge of ASD English and Spanish
- Parenting Check In - UT provides in English and Spanish
- DECA - in English and Spanish
- GARS - use original record provided by KFAC (Basecamp)
- Parent Involvement Interview in English or Spanish
- PFS/HIPPY Parent Survey in English or Spanish
- PICCOLO - use kit
- HIPPY Parent Child Observation (and A+ version)
- ASQ 3/SE - use kit
IN-CURRICULUM YEAR
- Home Visit Record - PVR - data is taken at the home visit and entered on VT weekly
- Family Log and accompanying letter for parents
- Referral Form used to document all Information (I) and Resource Connections (CR) provided to family
- Home Visit Observation - Coordinators conduct observations on weeks 5, 15, 25 using the form found in the HUSA Library
- A+ Home Visit Observation Form
- Edinburgh Depression Screening form in English and Spanish
- Domestic Violence Screening form in English and Spanish
- DECA - Mid
- Parenting Check In - Mid
- Redo Family Application as Family Update/Exit in English or Spanish
- A+ Parent Knowledge of ASD (9/29)
- Parent Involvement Interview in English or Spanish
- PFS/HIPPY Parent Survey in English or Spanish
- Bracken - use kit
- PICCOLO - use kit
- HIPPY Parent Child Observation (includes A+ version)
- ASQ 3/SE - use kit
- Parenting Check In - UT provides
- DECA - UT provides
- A+ GARS - UNT KFAC provides
- A+ Exit Survey English Spanish
FILE PREVIEW AND FORMAT: File formatting may look off in preview mode. Download and open in Word to check that format looks good.
