Lindsey,
It depends on who is reading it and what environment you are working. I work in several different pediatric environments and use different forms. For example, one setting is early intervention and many of the parents I work with are either delayed and/or have limited resources/education. My evaluation form is thus in bullet point format about developmental skills the child is performing ("findings") and those skills the child should be performing ("focus"). My evaluation also includes "play based" activities that work on those skills we are focusing on in intervention to be incorporated at home using common household items (i.e.; homeade playdough). I do not go into details about what it is and why as I have found this overwhelms the caretaker/parent and compliance in attendance in therapy and follow through at home goes down.
Another setting is in the area of education 0-18 years of age. My evaluation form consists of key findings in fine/gross motor, sensory motor as well as an implication section discussing the impact of the childs ability to access their educational environment and curriculum. I dicuss the findings and implications in a summary that ties all of my findings (including standardized testing to validate your findings and measure progress) to specific educational skills (i.e.; decreased visual motor function as noted by the "Berry VMI" would indicate difficulty in reading and writing-as suggested by the developers of the VMI). As well I include suggested programs from websites that can be purchased and implemented by schools and at home by parents.
I have templetes that I use and would be more than willing to share. Cut and paste what you like, discard what you don't. Give me your email if you like and I will attach and send them to you.
Good Luck and hang in there!!!
Libby
Clovis, California