Alabama Mental Health Progress Note Date of service: Click here to enter a date. Patient Name



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Date conversion05.02.2017
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Alabama Mental Health Progress Note
Date of service: Click here to enter a date. Patient Name: Click here to enter text.
Medical Record #: Click here to enter text. Present at Session: select an option

select an option

Session # select session number select an option

Click here to enter text.

Session start/stop times: Click here to enter text.
Types of treatment provided: select an option Service(s): select an option

select an option

select an option

Treatment Modality/Intervention(s): select an option

select an option

select an option

Click here to enter text.

Treatment Goals:

1. select an option

2. select an option

3. select an option

Session Narrative/Observation (S/0):

select an option

Treatment Response/Progress (A): select an option
Diagnosis: select an option select an option
select an option select an option
select an option select an option
select an option select an option
select an option select an option
select an option select an option
Treatment and Follow-up Plan (P):

select an option

Type you name here as a signature Click here to enter a date.

Insert Clinician’s Name Here Date





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