Free parent contact log 33Free parent contact log 33
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HOME AND SCHOOL Communication Log
To be completed each night by the parent/caregiver and sent to school with the child each morning.

PARENT/CARETAKER
Notes from home:

Next appointment with cochlear implant center:
Ling Six Sound Test

ah

eeee

oo

Detected
Identified
Cochlear implant settings:

Notes from private therapists:

Notes regarding upcoming or recent mapping appointments:

Memorable cochlear implant moments:

I have read these notes from school:
School Support Initials

Please see School Communication Log on next page

sh

sssss

mmm

(silence)

HOME AND SCHOOL Communication Log
Please complete this log daily and send home with the child so that the parent(s)/caregiver(s) can review the events
of the child’s day and address any concerns you may have before the child arrives at school the next day.

SCHOOL
(Circle one) CI was: working / not working properly today.
(Circle one) Roger / FM was: working / not working properly today.
Please describe any equipment problems:

Li