Would like to have separate progress note for cases that are exclusively evaluations, not "therapeutic," such as the case with disability or forensic evaluations. The header "Therapeutic" in current progress notes is misleading for those types of cases.
The template could be rather generic or could allow for: Date, Duration, Tests administered, Observations/mental status, collateral information reviewed/interviewed..... Preliminary Summary, Plan (in case of ongoing evaluations).
Currently I use the progress notes and case notes; however, when called to court printing each individual one - and explaining that I am not conducting a "therapeutic" assessment could be difficult
Assessment/Evaluation Progress Note
Would like to have separate progress note for cases that are exclusively evaluations, not "therapeutic," such as the case with disability or forensic evaluations. The header "Therapeutic" in current progress notes is misleading for those types of cases.
The template could be rather generic or could allow for: Date, Duration, Tests administered, Observations/mental status, collateral information reviewed/interviewed..... Preliminary Summary, Plan (in case of ongoing evaluations).
Currently I use the progress notes and case notes; however, when called to court printing each individual one - and explaining that I am not conducting a "therapeutic" assessment could be difficult