Therapy Notes – smart IOP

Patient's Name *

First

Last

Date *

Date

Time

Session Number *

Therapy Progress Note. MENTAL STATUS (as appropriate)

Attitude/Behavior:

Mood:

Affect:

Speech:

Thought Process:

Cognition:

Insight:

Presenting Issue/Key Stressor or Event: *

Review/Discussion of Recovery Environment:

Intervention provided today:

Client response to intervention:

Plan or goal for next session:

Necessity for continued level of care:

Additional therapist notes:

Therapist Name *

First

Last

Therapist Signature *

Clear Signature