{"data":{"id":"us-va/12vac35-225-180","jurisdiction":"us-va","citation":"12VAC35-225-180","heading":"Service documentation","body":"A. Early intervention service providers shall document all contacts made and all activities completed with or on behalf of families in a contact note within five business days of the contact. All contact notes shall include:\n\n1. The child's first and last names;\n\n2. Type of early intervention service provided;\n\n3. Method of contact;\n\n4. Date of the note and date of the contact if the note is not written on the same date; and\n\n5. The early intervention provider's signature, with a minimum of first initial and last name, discipline and credentials of the provider, and the date the note is signed by the provider.\n\nB. Contact notes that document a service session also shall include:\n\n1. A narrative description of what occurred during the session including what was done; what the family or other caregiver did during the session, including how they actively participated during the session; how the child responded during the session, including what the child was able to do in relation to outcomes and goals; and suggestions for follow-up;\n\n2. Who was present;\n\n3. Length of session (in minutes);\n\n4. Location or setting in which service was provided;\n\n5. Information from the family about what has happened since the last session; and\n\n6. Plan for the next contact.\n\nC. Contact notes that document a service coordination contact or activity also shall include the length of the contact or activity (in minutes), the service coordination short-term goal that the contact activity is addressing, and progress toward achieving the service coordination goal.","path":["Title 12. Health","Agency 35. Department of Behavioral Health And Developmental Services","Chapter 225. Requirements for Virginia Early Intervention System","Part V. Service Planning, Delivery, Transition, and Discharge"],"source_url":"https://law.lis.virginia.gov/admincode/title12/agency35/chapter225/section180/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:51:34Z","sha256":"4cce91cd5201e443cfdde2b1ce78870d598760352e160b7db03d76de134807e3","source_id":"us-va-vac","stale":false,"prev":"us-va/12vac35-225-170","next":"us-va/12vac35-225-190"},"notice":"GroundRules: Original legal text. Not legal advice."}