MTSS Behavior Documentation Bundle | Counselor-Designed | Teacher Referral + Intervention Record | Complete Tiered Support System | K–12 | PDF + Editable Google Forms

Most schools use a teacher form that doesn't connect to anything, and a counselor form that starts from scratch. This counselor-designed MTSS behavior documentation bundle solves that. Two forms work together to form a one unified system. Built by a Licensed Mental Health Counselor with 10 years of K–12 experience.

Part of the Clear Sky Classroom Framework: evidence-informed tools designed for the educators doing the real work of tiered support.

📄 Document 1 — Teacher Behavior Incident & Documentation Form (2 pages | PDF + Google Form) This classroom-facing form launches the process. And it's mostly checkboxes: designed for speed without sacrificing accuracy.

• Student & Setting Information
• Behavior Description checklist with observable language
• ABC Data (Antecedent, Behavior, Consequence)
• Frequency & Duration Data
• Tier 1 Supports Already in Place
• Teacher Request: ☐ Counselor consult ☐ MTSS team review ☐ Parent meeting ☐ Documenting only

📄 Document 2 — MTSS Behavior Intervention & Problem-Solving Record (2 pages | PDF + Google Form) The counselor/team form that carries the work forward from intake to exit.

• Intake Notes: history, SEL observations, protective factors, trauma considerations
• Behavior Hypothesis with function-of-behavior checkboxes
• Intervention Plan with person responsible, frequency, and dates
• Weekly Progress Monitoring Log
• Team Communication, parent contact log, and referral decisions
• Decision Point Box: closes the loop with structured next steps

Together, these forms give your school:

✅ A clear, documented handoff from classroom to counseling/MTSS team

✅ Consistent, observable, defensible records at every tier

✅ Clinical problem-solving structure that any team member can follow

✅ A paper trail that supports FBA referrals, IEP eligibility, and parent communication

✅ Both PDF (print-ready) and editable Google Form versions

MTSS Tier 2 aligned. Designed for school counselors, interventionists, MTSS/RTI/SST coordinators, special education staff, and building administrators implementing tiered behavior support (K–12).

This is a single-user license only. To purchase these materials for your entire school, please purchase the school license edition in my TPT store.

These materials are for general educational and informational purposes only and are not intended to diagnose, treat, or replace clinical mental health services. Educators and parents should consult a qualified mental health professional for individual student needs.