Intake Visit Care Coordinator Cue Card

This document contains question prompts for care coordinators to ask during the intake visit. These questions help the care team to get a good picture of the child and their family, along with their strengths and needs.

Family Intake Form

This form prompts families to think about concerns, priorities, and unmet needs for their child before their care coordination intake visit.

Care Coordination Needs Assessment

This needs assessment is designed to assist care coordinators in rating their current knowledge and identifying areas of need that they would like to target in training over the next six months. The areas of need were primarily developed from this article: Schor E. An Almost Complete List of Services Used by Families and Children with Special Health Care Needs, Lucile Packard Foundation for Children’s Health, April 2019.