Forms and Guides

• Pre-Intake
• Telephone Contact and Request for Services
• Preintake Phone Contact Guide
• Intake
• Intake Report Outline (Word document)
• Therapy Fee Agreement
• HIPAA Summary and Consent for Treatment
• Protecting the Privacy of Your Behavioral Health Information (HIPAA)
• Treatment Planning
• Treatment Plan Worksheet
• Treatment Plan/Termination Note (MS Word interactive form)
• Treatment Plan Sample with DAP note Sample
• Progress
• Progress Notes and Psychotherapy Notes (Draft: Please read and Comment before Nov 30)
• Progress Note Form
• SOAP Notes: Cameron and turtle-song (2002)
• Termination
  • Termination Note Worksheet
• Treatment Plan/Termination Note (MS Word interactive form)
• Feedback & Evaluation
  • Evaluation of Student Clinician (fill out by hand)
  • Evaluation of Student Clinician Electronic Fill-in Form
  • Evaluation of Outside Supervisors