FOCAF HANDOFF + EXCHANGE NOTES
For Our Children and Families

DATE:
TIME:
LOCATION:

WHO WAS PRESENT
-

CHILD ARRIVED WITH
[ ] Backpack
[ ] School items
[ ] Medication
[ ] Jacket / clothes
[ ] Comfort item
[ ] Sports / activity items
[ ] Other:

QUICK STATUS NOTE
Mood:
Energy:
Sleep:
Food / snack:
Anything child said they needed:

HEALTH / CARE NOTE
Medication given today:
Next dose / instruction:
Any symptom / concern:
Any appointment coming up:

IMPORTANT REMINDER FOR NEXT HANDOFF
-

FOLLOW-UP
[ ] No follow-up needed
[ ] Send quick message
[ ] Update school / childcare
[ ] Update provider
[ ] Add to routine planner