|

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