The following downloadable files are examples designed by the Cottonwood CDDO for use in tracking behaviors and seizures to serve as documentation for the BASIS Assessment. In order to capture behaviors in the BASIS assessment there must be documented proof of their occurrence. These forms or something similar should be used to document behaviors in all settings (Home, Community, School, Day services, Job, etc.)
NOTE: Behavior Tracking is not necessary for individuals with a Tier 1-5, who are also not currently receiving HCBS funded Day, Residential or In-Home Supports. An annual BASIS re-evaluation will not be completed on these individuals until funding is offered. If you have any questions about whether or not you should be tracking behaviors contact your Case Manager or the CDDO.
Behavior Tracking Logs
| 12 Page version | PDF / Excel | One page per month, provides a month-at-a-glance view |
| 4 Page version | PDF / Excel | 2 pages front & back that provides a Year-at-a-glance view |
| 2 Page version | PDF / Excel | Very compact 1 page front & back version, year-at-a-glance view |
| Large Print version | Half a month per page, large print version | |
| Fax version | PDF / Excel | Printable PDF file designed to be easier to read for faxing purposes |
| Versión Española | Registro del comportamiento en español | |
| Behavior definitions | Descriptions of each behavior for the purposes of the BASIS |
Seizure Tracking Log