Request a refill before medicine runs out
When to use this goal
For young adults who take a daily medicine and whose family now notices when it is running low. Fits students who use a phone or calendar; the family and nurse agree on the refill plan first.
- Baseline
- Ask the family how the last few refills happened and who started them. Record each refill point as started by the student without a reminder, started after a reminder, or missed.
- Tips
- Running out of a medicine can be a health risk, so the target is every refill. Teach the student to read the refills-left line on the label; zero refills means calling the doctor's office, which can join the appointment goals.
- Limits
- Gives no medical advice and does not change who manages the prescription. Insurance and prior-authorization problems are handled by the family and pharmacy.
Original IEP Atlas template based on general measurement principles; not copied from any goal bank. ID tn-il-042.
Sign in to add this goal to a student.
Goal
By the annual IEP review date, each time a daily medicine reaches the refill mark (such as seven days left), with the pharmacy app or phone number saved in the student's phone, the student will start a refill request through the pharmacy app or phone line before the medicine runs out independently in 4 of 4 opportunities, across 4 consecutive refill cycles, as measured by direct observation collected at each refill point, by family or nurse report.
Baseline: 0 of 4 opportunities.
- Condition
- Observable behavior
- Criterion
- Measurement method
Measurability check11 of 11 met
Met: Observable behavior. Stated as an action.
Met: Condition. Stated.
Met: Unit fits the behavior. Opportunities fits this behavior.
Met: Explicit criterion. Number and unit stated.
Met: Mastery rule and schedule. Both stated.
Met: Method produces the metric. Direct observation gives opportunities data.
Met: Review timeframe. Stated.
Met: Baseline and target compatible. Same unit, change in the right direction.
Met: Aligned with area of need. Still about Independent Living.
Met: Level of support. Defined.
Met: Blanks filled in. Nothing left to fill in.
Checks structure and wording only. Whether the goal fits the student is the team's call.
Short-term objectives (optional)
When are objectives required?Required for students on alternate assessments (34 CFR §300.320(a)(2)(ii)); some states require them for everyone.
Paste into your IEP system
Most district systems have a separate box for each part of a goal. Copy them one at a time, or all at once as labeled text.
- Area of need
- Transition & Postsecondary Skills - Independent Living
- Baseline
- 0 of 4 opportunities.
- Annual goal452 characters
- By the annual IEP review date, each time a daily medicine reaches the refill mark (such as seven days left), with the pharmacy app or phone number saved in the student's phone, the student will start a refill request through the pharmacy app or phone line before the medicine runs out independently in 4 of 4 opportunities, across 4 consecutive refill cycles, as measured by direct observation collected at each refill point, by family or nurse report.
- Timeframe
- By the annual IEP review date
- Condition
- Each time a daily medicine reaches the refill mark (such as seven days left), with the pharmacy app or phone number saved in the student's phone
- Behavior
- The student will start a refill request through the pharmacy app or phone line before the medicine runs out independently
- Criteria
- In 4 of 4 opportunities, across 4 consecutive refill cycles
- Evaluation method
- Direct observation
- Schedule
- At each refill point, by family or nurse report
Copied as plain text, with straight quotes and plain dashes.
Matching data sheet
Opportunity tracker. One box per opportunity in each session.
Opportunity tracker
Opportunities- Student label:
- Target:
- in 4 of 4 opportunities
- Mastery rule:
- across 4 consecutive refill cycles
- Collection schedule:
- at each refill point, by family or nurse report
- Method:
- Direct observation
- Data collector:
Goal: By the annual IEP review date, each time a daily medicine reaches the refill mark (such as seven days left), with the pharmacy app or phone number saved in the student's phone, the student will start a refill request through the pharmacy app or phone line before the medicine runs out independently in 4 of 4 opportunities, across 4 consecutive refill cycles, as measured by direct observation collected at each refill point, by family or nurse report.
Key: + demonstrated independently · P demonstrated with a prompt (note type) · − not demonstrated · NA no opportunity occurred
| Date | Activity / context | 1 | 2 | 3 | 4 | # + (of 4) | Notes |
|---|---|---|---|---|---|---|---|
Preview shows 4 of 12 rows.
- Record up to 4 opportunities per session, matching the goal's denominator.
- Define in advance what counts as an opportunity so every data collector records the same thing.
- Count only + marks toward the criterion unless the goal specifies prompted responses.
The CSV opens in Excel or Google Sheets, with formulas. Sheets print blank; no student data is stored.