Typical REPORT format or ALL consultations at the SMart Center.  
DETAILS/Specifics and included attachments will differ based on specific consultation format chosen

Name:_____________________     
Date:______________________
 

Location:

Current Situation:

 Plan:


HOME:

 

‘Everyday’ issues:  
I.e. behavior problems, sleep/toileting/eating issues

Continued difficulties:

 


Recommendations, goals/games for HOME or Everyday issues.

 


REAL World:

 

Present level of functioning in REAL WORLD setting, such as stores, parties, restaurants, stranger interaction… etc..

Continued difficulties:

 


Social-Communication goals/games for REAL WORLD situations.

 


SCHOOL:

 

Present level of functioning in SCHOOL setting,
I.e. academics, social comfort/communication level with peers, teachers.

Continued difficulties:
 

 


Social-Communication strategies, recommended accommodations, interventions, strategies for school related issues, addressing academics (if relevant)



 


Office visit:
Office visit highlights


Comments:  
Additional recommendations, suggestions… such as set up meeting with school for IEP changes, Handouts given out, Alternative therapy, medication changes, etc.   



Copyright© Smart Center/Dr. Elisa Shipon-Blum.  www.selectivemutismcenter.org.  Email: smartcenter@selectivemutism.org  Phone: 215-887-5748

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Web Seminars: wev
Similar to a workshop or conference but viewed from your own computer!  Rather then traveling, you would have the opportunity to attend a web seminar by signing up in advance, and then receiving a confirmation that will allow you to attend the web Seminar.
You would then log onto a website supplied to you and be present for the workshop! You would view your screen and hear the lecture via your computer speakers. You could even ask questions (assuming you have a headset and microphone)! You would receive handouts for the lecture as well; however, while viewing the seminar  you will be seeing the slides right on your computer. You can simply just take notes on your supplied handouts. Fees for attending the web seminar will be reflective by the length of the workshop.

Please note that web seminars can also be arranged as private web seminars. ie, for Schools, Groups of parents,  Professional organizations etc.   Contact us for more information