Client Service Record | Psychs in Schools
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Psychs in Schools

Client Service Record

An administrative record of service provision under the APS two-file model, completed by the provisional psychologist. This record contains factual service data only. Cases requiring clinical review are routed to your supervisor via the screening step below.

PiS administrative record · Client Service Record
1

Case screening

Answer every question before the record opens. These confirm whether this case can be recorded administratively or requires supervisor review.

During this service, was there any disclosure or indication of risk of harm (self-harm, suicidal ideation, or harm to others)?
Was a mandatory report made or considered during this service?
Has there been any complaint or dispute involving the family or school in relation to this service?
Is there an open diagnostic question requiring supervisor input before communication to the family or school?
Is there any court, legal, or child protection involvement connected to this case?
0 of 5 questions answered.

This case requires supervisor review

Do not complete this online form. One or more screening criteria apply, which means this case cannot be finalised as an administrative record.

Please download and complete the supervisor review template instead. Your supervisor will be notified and this case cannot be finalised until they have reviewed and signed off.

Download supervisor review template (PDF)

Complete the PDF, then email it to your supervisor with the student ID and school in the subject line.

Answer all five screening questions above to open the Client Service Record.
2

Service details

All fields required. Factual service data only.

3

Reason for referral

Check all that apply. This records the referrer's stated reason for requesting the service. At least one required.

Emotional
Behavioural
Social
Developmental / learning
Other
4

Nature of service

Check all that apply. This records what was delivered, as a factual service log.

Service activities delivered
Assessments administered
5

Service delivery factors

Check all that apply. Logistical factors that affected service delivery. This explains the session count as a factual service log.

6

Case outcome

Select one. This must match the outcome logged on the monday.com Referrals board.