TRANSITION REPORT
Support Coordinator/Agency
Client
Staff	Date
Services Provided to Client	SLC	PS-Day	PS-Qtr	LSD1	Other (specify)
Positive Qualities and Challenges: List general behavioral characteristics of the client.

Interests: Describe the client's interests, hobbies, projects, activities.

Describe successful training strategies.

Finances: State name of bank and accounts. List income (SSI, SSA, foodstamps, employment, and any other assets). List major debts.

Medical Information: list all medical doctors, mental health professionals, and illnesses.

Medications: List all current medications.

Appointments: List all upcoming appointments, including standing appointments.

List any Support Plan updates.

Specify the areas where the client needs assistance: Household Tasks, Health and Safety, Financial, Self Care and Personal Growth, Community Integration and Leisure Time.

Individual	Signature	Date
Individual
Staff
WSC