Implementation

Resources: HIPPY US Library



PRE-TEST - BEFORE PACKET 1 

• Family File Checklist Form 
• use with all family files to ensure all required documents are completed.
  
• Consent Forms (use all applicable):
• PEI - must use consent provided by funder
• Media Consent 
• Family Application Form - English or Spanish 
• PEI Client Enrollment Form - MIECHV - English or Spanish
• PEI Client Enrollment Form - Early Childhood - English or Spanish
• Bracken - use kit
• Healthy & Ready to Learn - English or Spanish 
• HRTL English: https://unt.az1.qualtrics.com/jfe/form/SV_6gORRiTgKcTySk6

•  HRTL Spanish: https://unt.az1.qualtrics.com/jfe/form/SV_b1aF3UPVFUQxICW

• Parent Involvement Interview - English or Spanish 
• PFS/HIPPY Parent Survey - English or Spanish - Optional
• PICCOLO - use kit
• ASQ-3 - use kit
• ASQ-SE-2 - use kit
• Social Communication Checklist in English and Spanish

IN-CURRICULUM YEAR

• Home Visit Record - PVR - completed during home visit and entered into VT weekly
• 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 HIPPY US Library
• Edinburgh Depression Screening Form - English or Spanish
• Domestic Violence Screening Form - English or Spanish

POST-TEST - END OF YEAR (use links above)

• Redo Family Application as Family Update/Exit in English or Spanish
• Bracken - use kit
• Healthy & Ready to Learn - English or Spanish
• Parent Involvement Interview - English or Spanish 
• PFS/HIPPY Parent Survey - English or Spanish - Optional
• PICCOLO - use kit
• ASQ-3 - use kit
• ASQ-SE-2 - use kit
• Social Communication Checklist in English and Spanish

DOWNLOADING FILES:  No login required. If you receive a message saying you do not have permission to access this document, try another web browser. This is most common with anyone using older versions of Internet Explorer.

FILE PREVIEW AND FORMAT: File formatting may look off in preview mode. Download and open in Word to check that format looks good.