Record and Documentation

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    RECORD AND

    DOCUMENTATIONFahmi

    Gowsalya

    Sofah

    S.Dharsiga

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    Written, taped, computerized

    Confdential

    Do not leave records around whereby others have

    access to read them

    n!ormation ac"uired used !or the purpose o!

    program planning !or the pupils in the record

    #ecords are used to $eep trac$ on the development

    o! the students% behaviour, academic, achievement

    RECORD AND DOCUMENTATION

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    record in!ormation in an ob&ective,

    !actual manner

    identi!y clearly personal impressions,

    observations and hypotheses as their

    view

    describe behaviour, avoiding the use o!

    undefned and'or unnecessary

    ad&ectives

    Counselors need to:

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    ma$e and initial their own entries and record

    in!ormation in a timely manner

    note and initial any subse"uent alterations oradditions, leaving the original entry legible and

    intact, and never erase, delete, or whiteout, etc.

    be brie!, but ensure in!ormation is su(cient to

    support continuity o! the counselling service

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    )asic in!ormation

    name, date o! birth, address, telephone

    number

    name o! parent'guardian and'or contact

    person

    reason !or re!erral'visit

    Maintenance of records

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    date o! contact, length, name*s+ o! all present

    counselling in!ormation su(cient to $eep

    trac$ o! counselling issues and progress

    correspondence written, telephone, email

    record o! consultations regarding client,

    including telephone calls and emails

    • Record of each professional contact

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    - dditional in!ormation as pertinent to

    the counselling relationship% eg. copies

    o!/

    assessment reports prepared by the counsellor,

    third party in!ormation, consultation notes, case

    con!erence notes

    consent !orms

    copy o! outside re!errals

    relevant outside agency reports

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    0upils have rights o! access to theircounselling records.

    0arents'guardians do not have an absolute

    right to $now all the details o! their child1scounselling. 2ach re"uest !or access !rom aparent'guardian should be evaluated on a3need to $now4 basis. Disclosure to others

    o! in!ormation

    ACCESS TO RECORDS

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    ll personal in!ormation used to ma$e adecision about a student must be retained!or at least one year a!ter its use.

     5ransitory notes need not be stored and areto be destroyed shortly a!ter the events towhich they relate occur.

    STORAGE AND DISOSA!