For people receiving support and their families
How do I describe daily routine support for an IHS provider?
Start with one routine that matters to the person. Describe the parts they already manage, where assistance is wanted, and how they prefer to receive it. A useful routine plan gives a provider something more specific to discuss than a request for a certain number of hours.
Describe an ordinary day
Choose a routine the person recognizes, such as preparing to leave home. Ask them to describe a usual day before someone else fills in the details. Record what works as well as what is difficult. A routine that succeeds on quiet days may be harder when an appointment changes or a familiar item is missing.
Avoid turning the worksheet into a list of everything someone cannot do. Include the choices they want to keep, the tools they already use, and the point at which they would welcome help.
Keep support and teaching questions separate
IHS without training focuses on assistance with using or maintaining skills. Ask the case manager to review whether the requested activity fits the authorized service. If the person wants to learn a new routine, list that as a separate training question rather than assuming every request belongs in the same service.
Try a clear description at the planning meeting
Read the proposed routine aloud and ask the person whether it sounds like their day. Replace broad wording such as “needs help with everything” with a particular activity, the help requested, and the preferred approach. Ask who will update the description if the routine changes. This worksheet does not set authorized tasks or worker instructions.
Daily routine discussion sheet
Download this editable worksheet, add your notes, and bring it to the relevant planning conversation. Leave unknown details blank and identify who can confirm them.
Download worksheet (.txt)- Routine and purpose
- Which part of the day are we discussing, and why does it matter to the person?
- What already works
- What does the person do now, including any tools or reminders they choose?
- Help requested
- At which point is assistance wanted, and what should the worker ask before helping?
- Preferences
- What pace, words, privacy or choices should the team respect?
- Change to discuss
- What varies on difficult days, and who should review the plan?
An optional discussion tool, not an official assessment, authorization, service plan, or emergency plan. Keep completed copies private and share through an agreed channel.
Illustrative planning example
An adult wants to leave for a community activity on time. They choose their clothes and pack their bag, but ask for a reminder to check the activity time. The planning question is how that reminder fits their support plan, not whether someone should take over the whole morning.
This example is invented to explain the worksheet; it is not a client story or a promised outcome.
Your next step
Bring one completed routine to your case manager and prospective IHS provider. Confirm the agreed tasks and schedule before treating this discussion sheet as a working arrangement.
For a conversation with Clemens Health about your Twin Cities location, call (651) 354-1196 or send a referral. Service fit, authorization, and staffing need to be confirmed.
Minnesota resources
State resources explain program rules. The worksheet and examples are Clemens Health planning aids. Links were checked October 5, 2026; follow the current state guidance for eligibility and service questions.