Daily Log Clients Name * Date * caregivers name * Start time * end time * Assisted with the following task AMBULATORY ♿️ ⤵️ Hands-onStandbyPrompt BATHING 🛁 ⤵️ Hands-onStandbyPrompt CONTINENCE 💩 ⤵️ Hands-onStandbyPrompt DRESSING 👖👕 ⤵️ Hands-onStandbyPrompt EATING 🍎🍌 ⤵️ Hands-onStandbyPrompt TOILETING 🚽 ⤵️ Hands-onStandbyPrompt TRANSFERRING 💺 ⤵️ Hands-onStandbyPrompt COGNATIVE SUPERVISION Additional Notes Please select at least one checkbox.I, the undersigned, certified that the information provided on this form is true and complete to the best of my knowledge and belief and agree to the terms and conditions and privacy policy. * I have read and agree to the terms and conditions and privacy policy. SUBMIT LOG
