Discharge Summary Note

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Comprehensive discharge summary for completed treatment

discharge summary completion outcomes
Progress Notes

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1

Treatment Period

Start date: [Date]. End date: [Date]. Total sessions: [Number]. Treatment duration: [Months/years].

2

Presenting Problems

Initial concerns: [Original problems]. Severity at intake: [Initial assessment]. Impact on functioning: [How it affected life].

3

Treatment Goals

Goals established: [List of goals]. Goals achieved: [Accomplished goals]. Goals partially met: [Incomplete goals].

4

Interventions Used

Primary approaches: [Therapeutic modalities]. Specific techniques: [Techniques used]. Client response: [How client responded].

5

Outcomes Achieved

Symptom reduction: [Measurable improvements]. Functional improvements: [Life changes]. Quality of life: [Overall improvement].

6

Discharge Reason

Reason for discharge: [Goal completion/other]. Client readiness: [Assessment of readiness]. Relapse prevention: [Plan in place].

7

Follow Up Plan

Recommended follow-up: [If any]. Crisis plan: [Emergency procedures]. Resources provided: [Community resources].

How to Use This Template

  1. 1

    Review the template structure

    Familiarize yourself with the sections and their purposes before your session.

  2. 2

    Customize for your practice

    Click "Edit & Download" to modify the template to fit your specific needs and clinical approach.

  3. 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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