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Exhibit 3: Progress Note
Patient: |
Date: |
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Length of session: |
Session: |
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Urinalysis: |
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Problem Area |
Goal |
Measure(s) |
Assessment |
Status: A=Active; M=Maintenance; IN=Inactive; NP=No problem |
_____ Alcohol/Drug |
-
-
-
|
-
-
-
|
-
-
-
|
-
-
-
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_____ Employment/education |
-
-
|
-
-
|
-
-
|
-
-
|
_____ Family/social support |
-
-
|
-
-
|
-
-
|
-
-
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_____ Recreational/social activities |
-
-
|
-
-
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-
-
|
-
-
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_____ Psychiatric |
-
-
|
-
-
|
-
-
|
-
-
|
_____ Legal |
-
|
-
|
-
|
-
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_____ Medical |
-
|
-
|
-
|
-
|
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Homework:
Other comments: Changes in goals, missed sessions, schedule changes,etc.
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Therapy Manuals for Drug Abuse: Manual 2
Contents
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