SOAR Attendance Agreement

This form should be completed by the following individuals: ALL Parents/Guardians whose child is receiving a SOAR service, should read and sign this form. ALL individuals, 12 and older, receiving SOAR services should read and sign this form.


For the purpose of this form the following definitions apply:


Missed/canceled session is defined as a client canceling, and/or not rescheduling, a scheduled session prior to 24-hours of the scheduled start time for any reason other than illness or untimely emergency. If a client's location changes without proper notice and is out of the team member’s operating zone, it is a missed session.


“No show” is defined as a client not attending a scheduled session without proper notice.

*This agreement was made on:

This agreement was made between SOAR - Seeing Our Adolescents Rise (SOAR) and (below named client), here in after known as the Client.

Terms of Agreement:

Please read out all terms to ensure the client, (and their parent/guardian, if applicable) fully understand the attendance expectations.



*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

*Please have the client initial below confirming the above statement.

  • Minimal Engagement: Ongoing lack of communication and/or low engagement.

  • Previous Engagement: Being previously engaged in SOAR services and then engagement decreases to minimal or no engagement.

  • No Engagement: Unable to contact, no engagement, unresponsive.


SOAR clients who are engaged with services, but begin to show signs of disengagement will be held to the standards set above.


*Please have the client initial below confirming the above statement.

1. **Flag** client’s who are not showing interest in engaging and develop an outreach action plan.


2. **Express Concern**, after a period of 4-weeks. SOAR team members will notify with client, family, and  referring agency, if applicable, via email and/or text to let them know SOAR is concerned with the level of non-engagement, we will minimize outreach, and we will move toward program dismissal if the following actions don't occur.

3. **Dismiss** client  by sending an email and/or text to family dismissing them from the SOAR program with an invitation on how to re-engage within 3 months. This re-engagement will not require a re-referral into the program, just the completion of a re-engagement form. If applicable, this same information will be sent to client’s referring agency.


*Please have the client **initial** below confirming the above statement.

*Please have the client initial below confirming the above statement.

The client's signature also indicates that they have also been provided a copy of this contract for their records.


By signing below, I acknowledge that I have fully read and understood the terms and conditions. I certify that the information provided in this form is accurate to the best of my knowledge.

Clear
By signing below, I acknowledge that I have fully read and understood the terms and conditions. I certify that the information provided in this form is accurate to the best of my knowledge.

Clear

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