Discharge Summary Note
Comprehensive discharge summary for completed treatment
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Edit & DownloadTreatment Period
Start date: [Date]. End date: [Date]. Total sessions: [Number]. Treatment duration: [Months/years].
Presenting Problems
Initial concerns: [Original problems]. Severity at intake: [Initial assessment]. Impact on functioning: [How it affected life].
Treatment Goals
Goals established: [List of goals]. Goals achieved: [Accomplished goals]. Goals partially met: [Incomplete goals].
Interventions Used
Primary approaches: [Therapeutic modalities]. Specific techniques: [Techniques used]. Client response: [How client responded].
Outcomes Achieved
Symptom reduction: [Measurable improvements]. Functional improvements: [Life changes]. Quality of life: [Overall improvement].
Discharge Reason
Reason for discharge: [Goal completion/other]. Client readiness: [Assessment of readiness]. Relapse prevention: [Plan in place].
Follow Up Plan
Recommended follow-up: [If any]. Crisis plan: [Emergency procedures]. Resources provided: [Community resources].
How to Use This Template
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1
Review the template structure
Familiarize yourself with the sections and their purposes before your session.
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2
Customize for your practice
Click "Edit & Download" to modify the template to fit your specific needs and clinical approach.
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3
Save and reuse
Download as PDF for immediate use, or use within HIPAAtherapy to auto-fill client details and save to your records.
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