Each caretaker shall be given a supply of the “Caretaker Log of Visits to Providers” (DCF-2127) as part of the child’s Placement Portfolio. 

The caretaker will complete the log for each visit to a health care provider. 

The log is not filed in the Uniform Case Record, but rather, is a record to be maintained and retained by the caretaker in the Placement Portfolio.

The purpose of the log is to help the caretaker to track the provider visits and give a general overview of the health care provided the child while in placement, even if there is no corresponding “Report of Health Care Visit” (DCF-742) which has been completed by the health care provider. 

The log would be especially helpful in the case of a series of counseling sessions where the provider only filled out an initial “Report of Health Care Visit” (DCF-742).

When visiting the child, the Social Worker shall review the DCF-2127 log with the caretaker to establish if all applicable “Report of Health Care Visit” forms (DCF-742) have been returned. 

If a needed form is missing, the Social Worker shall contact the health care provider to obtain the provider’s record of the visit.