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Psychotherapy Progress Note Template

This document is a template for a psychotherapy progress note used to record session details, interventions, patient functioning, and treatment plans. It includes sections for documenting the type of session, changes in medication, patient education, and community resources needed. The therapist is required to sign and date the note to validate the information recorded.

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beth hamill
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We take content rights seriously. If you suspect this is your content, claim it here.
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49 views1 page

Psychotherapy Progress Note Template

This document is a template for a psychotherapy progress note used to record session details, interventions, patient functioning, and treatment plans. It includes sections for documenting the type of session, changes in medication, patient education, and community resources needed. The therapist is required to sign and date the note to validate the information recorded.

Uploaded by

beth hamill
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

[Your Organization’s Logo]

PSYCHOTHERAPY PROGRESS NOTE

Date: Time Session Began: Ended:

Session Type: _____Individual (90806) _____Couple/Family (90847) _____Initial Assessment


(90801)
_____ Group (90853) _____Collateral (90846) _____Other

Intervention: _____Cognitive _____Insight _____Behavioral _____Systemic


_____Supportive
_____Other
Suicide/Homicide/Violence Ideation: Yes / No
If yes, explain:
Patient Level of Functioning:

_____Significant Improvement
_____Moderate Improvement
_____Minimal Improvement
_____No Change
_____Deteriorated

Change in Medication(s) Reported: _____Yes _____No


If yes, explain:

Pt/Family Education Provided: _____N/A _____Yes _____No


Pt/Family Displays Understanding: _____N/A _____Yes _____No
If no, explain:

Community Resources Needed: _____Yes _____No If yes, what resources?

Treatment Plan: _____Unchanged _____Modified (see treatment plan)

Next Appointment:

Progress Note: Data Assessment Plan


Diagnosis: GAF:

Therapist Signature (Name, Degree, Credential) Date

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