Hmm. A hundred and eleven pages. Gee, I can't THINK why they didn't read it all thoroughly.
OK, enough sarcasm. I know you need to be thorough, but a strong suggestion for the future - summarise it down to one page. It's not easy, but it can make a HUGE difference. Of course you give them the whole thing so there is no excuse for them getting anything wrong, but a summary as well, in plainspeak, will help.
For example - "You have the detailed report. In summary, this child has had a series of diagnoses, the most recent one being .... This affects the child as follows:..., ..., and .... For this, the following medications have been prescribed: [list them]. Past problems with other medications include: [list past problems and the reactions to each one]. You are most likely to experience the following problems: [list them]. In the event of these problems occurring, we require immediate contact regardless of the time. If you are unsure of the best course of action in a situation or just want more information, please feel free to call."
I did something like this at the beginning of each new school year for difficult child 3's new teacher. They had his records, they had t he communication book, but a quick summary helped because the teacher had enough to do that day, there was going to be no time to read the entire file.
I suspect most of the time, the long reports are simply not read. Ever. They take a verbal handover, maybe read a referring doctor's letter, and that's about it.
Think about it - the average person, when unpacking a new piece of equipment, doesn't generally stop to read the manual before you go over and plug it in to see what it does.
Why else would we be so familiar with the phrase, "If all else fails, read the manual"?
Marg