Children who have multiple disabilities are likely to interact with many different service providers during their school programs. It will be very confusing for the child if each person uses a different method of communication and has conflicting expectations. The child s communication options should be noted in the IFSP/IEP. It is very important to have a team meeting with family members and service providers who interact most frequently with the child to identify and agree on tactile strategies that will be used consistently. Practicing selected strategies and viewing videos of the child s interactions are very helpful procedures. Once strategies are selected and agreed upon, methods for sharing information, documenting practice, and planning for follow up are needed. Written guides on the use of cues and signs should be available in easily accessible places. Data collection sheets, communication notes, or e-mail are ways to document practice and share information. Short, regularly s