BASIS Tracking Logs:

The following downloadable files are examples designed by the Cottonwood CDDO for use in tracking behaviors and seizures to serve as documentation for the BASIS Assessment. 

In order to capture behaviors in the BASIS assessment there must be documented proof of their occurrence.  These forms or something similar should be used to document behaviors in all settings (Home, Community, School, Day services, Job, etc.)  

Due to changes in BASIS Guidelines Behavior Tracking is no longer necessary for individuals with a tier 1-5, who are not recieving services (indicated in the Services page of BASIS).  An annual BASIS re-evaluation will not be completed on these individuals until funding is offered. If you have any questions about whether or not you should be tracking behaviors contact your Case Manager or the CDDO.


Behavior Tracking:
 
  12 page version: PDF Excel  (One page per month, provides a Month-at-a-Glance View)
  4 page version:  PDF / Excel (2 pages front & back that provides a Year-at-a-Glance View)
  2 page version: PDF / Excel (Very compact 1 page front and back version, Year-at-a-Glance View)
  Old version: PDF / Word (The older 12 page version, provides a Month-at-a Glance View)
  Fax version: PDF / Excel (Printable PDF file designed to be easier to read for faxing purposes)
  Versión Española: PDF (Registro del comportamiento en español)
  Behavior Definitions PDF (Descriptions of what each behavior includes)

 
Seizure Tracking:

 

 

 

 

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