A simple framework for writing useful, factual care notes without turning them into general chat.

A care note answers a practical question

  • What did the caregiver observe?
  • When did it happen?
  • What ordinary care was provided?
  • What should the next caregiver know now?
  • Is there a source instruction or follow-up already in place?

Write observations, not diagnoses

Describe what you saw or what the child said without assigning a medical, psychological or legal conclusion. If a clinician or school provided instructions, identify that source and preserve the original instruction.

Keep in mind

“Parent-recorded: coughed twice after dinner at approximately 7:15” is an observation. “Has an infection” is a conclusion that requires an appropriate professional.

Keep other work out of the note

  • Use a schedule request for proposed timing changes.
  • Use the expense workflow for costs and reimbursement.
  • Use emergency channels for urgent safety needs.
  • Use the appropriate adult discussion space for questions about the note.
Scope of this resource

Care notes are parent-recorded observations. They are not independent verification, medical records or professional conclusions.

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