IFSP Form Users Manual
Contents
1. save the document into your computer s templates folder 1 6 Click on the office button to open the drop down menu Choose the Save As option Choose the Other formats option Choose the Save As option to open the Save As dialog box Click on the Save as type option to open the drop down list Scroll through the list to find the Excel 97 2003 Template xIt option Once saved your template is stored in the templates folder on your computer To open the IFSP template follow these steps 1 Click on the office button to open the drop down menu Choose the New option In the New Workbook screen select My Templates Select the IFSP icon and click OK A new IFSP form opens You are ready to enter new data into the form Finding Your Way through the IFSP Form The IFSP form contains several pages Each page is labeled and can be found in the worksheet bar on the bottom of the page A Home Insert Page Layout Formulas Data Review View Developer Add Ins Acrobat Close amp Cut a Y en ap en E AutoSum Times New Rom 7 10 A A Wrap Text z u i Lm r aH w e a g Sc Ss au 2 A Past Kiin et SS SS ls 5 Sy 0 00 Conditional Format Cell Insert Delete Format Sort amp Find amp wf Format ints SO She AR SA EEE Meroe center Pope ALS orang as Taie ses eee Gea2. IFSP Form Users Manual WILLIAM M HABERMEHL County Superintendent of Schools Orange County Department of Education Special Education Services Revision date 5 5 2011 Table of Contents POUT TE SP TON e sys Vaceusn cane meiadurs sean ays E T 3 eae ne PE ola een estes eran ee Pen nr vn meee 4 Finding Your Way through the IFSP FOrm sscccccssseccccesececcesscccceescceceeseceseeseceeeeneceeseesecessuecessegeceesenaeeeees 5 EPSPS TNE Dalla ee E E E E A E E E lian 8 Capture Additional Information by Adding a Page ccccccsssccccessececcesecceeesececeueceeseeeeceseusecessegeceesegeeeeeas 11 Automatically Populating FieldS sasesenesessesurenesunserureresunserurereruneesureresursessrererunerenrererureresrererureresrererurerene 15 Pane CN OP FO e E E E A A 17 Savie PEIES P ONT e E E E S 20 About the IFSP form This IFSP was created by Orange County Department of Education to assist you in maintaining your Early Start records This form is compatible with any version of MS Excel and can be used on either PC or Mac platforms For questions about the proper use of the IFSP contact Dillon Henry at dhenry ocde us For technical questions about IFSP data entry contact Robin Gurien at rgurien ocde us Installing the IFSP Form The IFSP Form is a template an electronic file with a predesigned customized format and structure To ensure that you do not save this form as an individual Early Start file you must
3. Pater Sees Clipboard p Font Alignment fa Number T Styles J Cells Editing B5 M i Po a B c o je F jaju u L m n o p a rR 1 IFSP 2 ORANGE COUNTY INDIVIDUALIZED FAMILY SERVICE PLAN 3 for Children with Special Needs Birth to Three Years and Their Families 4 Identifying Information re ee eee 6 SSID if available a Date of Birth _7 Primary Language spoken in home Interpreter Reqd O Yes O No 8 Ethnicity _9 Race 1 Race 2 Race 3 10 11 Home Address 12 Ci te ome Phone 13 Name s of O Parent O Guardian O Foster Parent O Other Speci 14 1 2 15 1 Work Phone E 2 Work Phone 16 RCOC Service Coordinator 17 Service Coordinator of IFSP 18 School District of Residence 19 Current Agency Services 20 O Regional Center of Orange County O SELPA School District 21 O Califomia Children Services O Comfort Connection Family Resource Center 22 O Orange County Health Care Agen O Other Speci 24 Eligibility for Early Intervention Services 25 Date of initial referral Infant referred by Date of Eligibilty 26 27 Parent consent Date 28 F 30 The IFSP team determines that the assessment results demonstrate that the family and child are eligible for 31 arly intervention services under the California Early Intervention Services Act 3z 33 Regional Center of Orange County O time Infant Program Setting Childs Birth Hist amp Hith Status 1 Childs Birth Hist
4. m custom trainings amp Special Education Organize New folder 7 Name Date modified Type Libraries i a evaluation 3 17 2009 12 18 PM Microsoft Of E3 Documents h KARSSEN o r TRE form test 6 6 2010 10 14 AM Microsoft Of lusic Eo IFSP 2 18 2011 11 20 AM Microsoft Of Pictures zA R Saeed R l T PP implementation plan 3 17 2009 12 23 PM Microsoft Of ideos Es revised ifsp 3 7 11 3 14 2011 4 29 PM Microsoft Of status 2 3 29 2011 9 40 AM Microsoft Of jE Computer Local Disk C E HR filesvr E GK HRfiles filesvr G Rourien fileswr eT t File name IFSP Jane Doe al Save as type Excel 97 2003 Workbook Authors bheinbuch Tags Add a tag E Save Thumbnail Hide Folders bao BES ry 20 The next time you need to add information to the child s IFSP form you may add information directly to the form you saved previously and rename the updated document Your SELPA may wish to determine a consistent format for naming saving new IFSP documents and create a central system for storing backing up these Early Start records 21
5. 48 R Review Mtg More Sheets CHILD S PRESENT LEVELS OF DEV 1 pan re A CHILD S PRESENT LEVELS OF DEV 2 CHILD S PRESENT LEVELS OF E u 1 mmen a E EE E eeeE 0 Oa y 11 17 AM B iw i gt i i 4 5 2011 Entering Data You may enter data only in the fields that are shaded Use the tab key to move from field to field Alternatively you may move your mouse and click on the data field Some fields have check boxes To check the box move the cursor into that field and press x The box will be checked To uncheck the box click on the undo key check box key Insert Fage Layout Formulas Data Review View Times New Rom 10 IA 4 E3 Copy l ea Paste 3 cid dy A ak 3 Format Painter Beiter e Clipboard F ORANGE COUNTY INDIVIDUALIZED FAMIL for Children with Special Needs Birth to Three Year 1 2 3 A Tdentifvine Information Some data fields have drop down menus The drop down arrows will show up when you move the cursor into that field Once the drop down arrow appears click on it and scroll to the correct list item To delete the selected item click on the undo key Race 1 Race 2 and Race 3 on the Information Sheet contain drop down menus To activate the menu click the shaded field next to the item A drop down arrow will appear Click on the drop
6. LaserJet 4700 near Robin Gurien Print range all Page s From Print what Selection C Active sheet s Table F Ignore print areas Number of copies 1 P M Collate 18 To print a sub set of pages for example only the pages which include data First hold the ctrl key and click on the tabs to select the pages you would like to print For example in the screen below the Information Sheet Family Resources Priorities and Concerns Sheet and the Child s Birth History and Health Status 1 Sheet are selected Only these sheets will be printed gt gt Information Sheet Family Res Prior Concerns Childs Birth Hist amp Hith Status 1 Childs Birth Hist amp Hith Status 2 CHILD S PRESENT LEVELS OF DEV 1 Next follow the directions to print the current page on Page 17 of this document NOTE All page numbers will automatically adjust according to the number of pages selected to print 19 Saving the IFSP form The IFSP form is a template To preserve the document for each individual child you must save each IFSP with a different name In the Microsoft Office Button select Save As Name the document for example IFSP Jane Doe 4 25 11 Select the software format you would like to save the child s IFSP document in Hint since newer versions of MS Excel are not compatible with other formats you may prefer to save your form as an Excel 97 2003 document S Save s i j
7. Sheets es Prior Concems Chids Beth HstBHEh Status 1 Childs Bith Hist Hith Stetus2 CHILD S PRESENT LEVELS OF DEV CHILD S PRESE VELS OF DEV CHILD S PRESENT LEVELS OF DEV3 OUTCOME 1 OFF AS EW Ps 12 In the Move or Copy Display Box select the sheet you would like this page to be placed in front of Move or Copy Move selected sheets To book IFSP revised may 5 2011 xlsx Before sheet Information Sheet Family Res Prior Concerns Childs Birth Hist amp HIth Status 1 Childs Birth Hist amp Hlth Status 2 CHILD S PRESENT LEVELS OF DEV 2 CHILD S PRESENT LEVELS OF Click the create a copy box and click OK Move or Copy Move selected sheets To book IFSP revised may 5 2011 xlsx Before sheet Family Res Prior Concerns Childs Birth Hist Hlth Status 1 Childs Birth Hist Hlth Status 2 _ _ CHILD PRESENT LEVELS OF DEV 2 CHILD S PRESENT LEVELS OF Your new page has been created Because it is an exact copy of the original page it will be named Child s present level of Dev 1 2 To rename the page Double click on the worksheet tab Mii I i IFSP revised may 5 2011 Microsoft Excel o F gZ Home Inset Pagelayout Formulas Osta Review View Add ins e6Q rces Cut gt gt a 4 E iy B dean Times New Roman 11 AAN Fse amp Normal Bad Ag EN nae F Format Painter BiH Fir gt 3 Check Celt 7 lt 2 Clear i eee Chipboard Font Alignment Number
8. Styl Cell Editing A7 6 f aosjkd sjd kmjv Iv Bin Sinem na x aan harass aa ae Aaah aes Se aoe ae se AC an OF 1 Child s Name Date of birth E 2 CHILD S PRESENT LEVELS OF DEVELOPMENT 3 COGNITIVE DEVELOPMENT 4 DATE 5 ASSESSMENTS USED 6 COMPLETED BY 7 _aosjkd sjd kmjv 8 9 10 11 12 13 14 15 16 17 F 18 19 au 21 COMMUNICATION RECEPTIVE 22 DATE 23 ASSESSMENTS USED 24 COMPLETED BY 25 26 27 28 29 30 31 32 33 34 35 36 37 COMMUNICATION EXPRESSIVE 38 DATE 39 ASSESSMENTS USED 40 COMPLETED BY 41 a i Pa Ga X Marn information Sheet Family Res Prior Concems Chiids Birth Hst amp Hth Status 1 Childs Brth Hist amp Hith Status 2 CHILD S PRESENT LEVELS OF DEV 1 CHILD S PRESENT LEVELS OF DEV 2 CHILD S PRESENT LEVELS OF DEV3 JJe me Of BOD 1m Ready The worksheet tab will be highlighted Click on the text and rename your folder When you are done click off the tab 14 Automatically Populating Fields Several fields on the IFSP form are designed to automatically populate For example once the child s name and date of birth have been entered on the information sheet they will automatically populate onto all remaining IFSP pages Child s Name field ORANGE COUNTY INDIVIDUALI ene for Children with Special Needs Birth tc i Identifyir Child s Name a SEX Automatically populating fields are not shaded since the cells are locked from data entry Automatically populating field FAMILY RE
9. down arrow and scroll through the menu to the correct selection The selection will appear in the field To delete the selection press the undo key drop down arrow A Race 1 Race 3 I Some drop down menus relate to specific fields in the CASEMIS reporting system For further guidance on making the correct selections please consult the CASEMIS manual or your supervisor To enter information into the large text boxes double click inside the text box This will activate the cell and a flashing cursor will be found in the upper left corner of the box ale You may write in this box as if you are using a word processor however DO NOT hit the enter key to start a new line Instead use alt enter Hitting only the enter key will move the cursor to the next text box You may enter as much information as you would like Any text that extends beyond the field borders will be saved and you will be able to see it on the screen However text that extends beyond the field borders will not print 10 Capture Additional Information by Adding a Page To capture information that extends beyond the field borders you may create extra pages to any part of the IFSP form This additional page can be printed along with the rest of the form For example if your notes for Child s Level of Develooment Gross Motor Skills extends beyond the text box you can insert an additional page to immediately foll
10. SOURCES Tt ee TT EF a se TrA ae 15 Similarly each Outcome number will automatically populate on the Summary of Early Intervention Services pages to help the user document the services related to meeting each Outcome IFSP OUTCOME The family identifies what they v For each concern ide Date OUTCOME Child s Name U Summary of Early Intervei Services will be provided according to the availability the program calendar and scheduled servic Tct atin 16 Printing the IFSP Form To print the current page only Click on the Microsoft Office button and select the print icon Ox Home Cut 4A Copy Paste f Formal Clipboard D7 In the Print screen select Active Sheet and press the ok button Idle HF Color LaserJet 4700 PS Building A HR in Robin Gurien s offic Comment HP LaserJet 4700 near Robin Gurien Print range Copies All Number of copies 1 0 Pagefs From Print what ret a C Selection C Entire workbook Table F Ignore print areas olate 17 To print the entire form 54 Copy Paste F Formal Clipboard D7 Click on the Microsoft Office button and select the print icon In the Print screen select Entire workbook and press the ok button m z y Print Printer Name a Wortsvr HR HP4700 Status Idle Type HP Color LaserJet 4700 PS Where Building A HR in Robin Gurien s offic Comment HP
11. al Center of Orange County O SELPA School District 21 O California Children Services O Comfort Connection Family Resource Center 22 O Orange County Health Care Agen O Other Specify 24 ligibility for Intervention Services 25 Date of initial referral Infant referred by Date of Eligibilty 26 27 Parent consent Date 28 Z E The IFSP team determines that the assessment results demonstrate that the family and child are eligible for 31 early intervention services under the California Early Intervention Services Act 33 Regional Center of Orange County Special Education Solely Low Incidence Not eligible at this 34 O Established Risk Disability O Yes O time Infant Program Setting 4 gt gt Information Sheet _ Family Res Prior Concerns Childs Birth Hist amp Hith Status 1 __Childs Birth Hist amp Hith Status 2__ _ CHILD S PRESENT LEVELS OF DEV 1 CHILD S PRESENT W u 0 Ready 7 A Se Ee ET ng a 11 08 AM 4 5 2011 in Ly The You may also right click on the arrows to the left of the worksheet bar to see the full list of pages and scroll down to select the page you want Home Insert Page Layout Formulas Data Review View Developer Add Ins Acrobat 2 amp Cut Times New Rom 10 X a a Jenan BEREA l al rad Merge amp Center SB Format Painter Clipboard E myy we AutoSum 7 A Wrap Text F Hy ey o TA Cat eee a F Conditional Forma
12. amp Hith Status 2 CHILD S PRESENT LEVELS OF DEV 1 CHILD S PRESEN 1 a j O Ss 10 y e 11 08 AM P peg e P To go to a page click on the tab in the worksheet bar Microsoft Exce r Home Insert Page Layout Formulas Data Review View Developer Add Ins Acrobat Close Cut v li I mi r a E EER AutoSum B a Times New Rom 10 A Wrap Text F HA a i E Fn Ad BF EB aM amp Cent a lt 0 8 Conditional Format Cell ERSE Sort amp Find amp J Format Painter Z I ae PEA s 2 anka J C Formatting as Table Styles lt 2 Clear Filter Select Clipboard E Alignment ta Number a Styles ___Cells ___ _______ Editing BS 7 A T eT lt P T mM m N o Pp a R j 1 IFSP 2 ORANGE COUNTY INDIVIDUALIZED FAMILY SERVICE PLAN 3 for Children with ee to Three Years and Their Families 4 Information _ S 6m 6 SSID if available Date of Birth 7 Primary Language spoken in home Interpreter Reqd O Yes O No 8 Ethnicity _9 Race 1 Race 2 Race 3 10 11 Home Address 12 Ci z Home Phone 13 Name s of O Parent O Foster Parent O Other Speci wa Le 15 1 Work Phone ferworphone o 16 RCOC Service Coordinator 17 Service Coordinator of IFSP Phone 18 School District of Residence Phone 19 Gurrent Agency Services 20 O Region
13. ow that page Right clicking on the worksheet tab Child s Name Date of birth CHILD S PRESENT LEVELS OF DEVELOPMENT COGNITIVE DEVELOPMENT DATE ASSESSMENTS USED COMPLETED BY aosjkd sjd kmjv COMMUNICATION RECEPTIVE DATE ASSESSMENTS USED COMPLETED BY COMMUNICATION EXPRESSIVE DATE ASSESSMENTS USED COMPLETED BY gt dl Information Sheet Family Res Prior Concerns Childs Birth Hist amp Hith Status 1 Childs Birth Hist amp HIith Status 2 CHILD S PRESENT LEVELS OF DEV 1 CHILD S PRESENT LEVELS OF DEV 2 CHILD S PRESENT LE 11 Select move or copy from the display menu lid 9 O le IFSP revised may 5 2011 Microsoft Excel o gZ Home Insert Pagelayout Formulas Osta Review View Add ins a Qe o joe J ac mummu Ja jT mm ore icenen i Neue ae Boo FA Copy rue i Biug Q A i Merge amp Center M Conditional Format PTET Explanator Linked Cell Note Insert Delete Format Sort amp Find amp Ph Arometivore u an E E R if iE Bi merge amp Center gt a 3 Formatting as Table P i ei 2 Clear Filter Select Font Alignment b Number gt Styles Cells Editing a U E a Coney i pw wftotertatyatst rtrtewutv twee fv zt a of T E 21 DATE o ASSESSMENTS USED COMPLETED BY Inset UN Delete 2 2 as 235 26 a 28 E 2 31 a 33 Rename 34 35 7 38 33 a q viewCode Tab Color gt Hide Unnide Select All
14. t Cell Delete Format Sot amp Find amp Formatting as Table Styles z 2 Clear Filter Select Cells Editing 11 Home Address f pn E 13 Name s of O Parent O Foster Parent O Other Speci 14 1 15 1 Work Phone 2 Work Phone 16 RCOC Service Coordinator 17 Service Coordinator of FSP r 18 School District of Residence 19 Current Agency Services 20 O Regional Center of Orange County O SELPA School District 21 O California Children Services O Comfort Connection Family Resource Center 22 O Orange County Health Care Agen O Other Specify 24 ligibility for Early Intervention Services 25 Date of initial referral Infant referred by Date of Eligibilty 26 ee Parent consent Date 28 30 Information Sheet s that the assessment results demonstrate that the family and child are eligible for 31 es under the California Early Intervention Services Act Family Res Prior Concerns _33 R Childs Birth Hist amp HIth Status 1 Childs Birth Hist amp HIth Status 2 Not eligible at this ET CHILD S PRESENT LEVELS OF DEV1 sabiti Eii time Infant Program Setting 35 CHILD S PRESENT LEVELS OF DEV 2 Specify O Visual impairment FA CHILD S PRESENT LEVELS OF DEV 3 a Si Fag Fodonal Infant Program Setting 38 OUTCOME 1 OUTCOME 2 41 OUTCOME 3 42 OUTCOME 4 OUTCOME 5 Date Initials Addendum 45 OUTCOME 6 Initial Mtg 46 RF OUTCOME 7 Review Mtg 47 R OUTCOME 8 Review Mtg
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