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Case Follow-Up & Risk Management Form

The document is a case follow-up and risk management form from Carsadang Bago Elementary School in Imus City, Philippines. It collects information about a pupil, including their name, grade, section, and class adviser. It documents observations about the pupil over a duration, any interventions provided, and the results. The form is signed by the pupil's parent/guardian, class adviser, guidance designate, and principal, indicating an agreement.

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ANGELO UNAY
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192 views1 page

Case Follow-Up & Risk Management Form

The document is a case follow-up and risk management form from Carsadang Bago Elementary School in Imus City, Philippines. It collects information about a pupil, including their name, grade, section, and class adviser. It documents observations about the pupil over a duration, any interventions provided, and the results. The form is signed by the pupil's parent/guardian, class adviser, guidance designate, and principal, indicating an agreement.

Uploaded by

ANGELO UNAY
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Republic of the Philippines

Department of Education
REGION IV-A CALABARZON
SCHOOLS DIVISION OF IMUS CITY
CARSADANG BAGO ELEMENTARY SCHOOL
107983@deped.gov.ph

CASE FOLLOW-UP AND RISK MANAGEMENT


Date:___________________
Name of Pupil:_____________________________ Grade and Section:_____________________
Class Adviser: ______________________________

Observation/Findings: Duration of Observation: _____________________


_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

Intervention/s Result/s

Duration of Intervention:___________________________________________

Agreement:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

_____________________ ______________________
Parent/Guardian Class Adviser/Subject Teacher
__________________________
Guidance Designate

_________________________
Principal

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