Progress Notes

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From the Documentation menu select New...Progress Note.

Progress Note sections are listed on the side list or menu bar. Click on a section such as Interventions to open the corresponding window.

optional sections Optional Sections is located at the bottom of the list bar, Click on it to open.

These sections contain information addressed at Intake which can be updated in progress notes. For instance, you may want to rate the symptoms and impairments to track improvement during treatment. Or, you may want to record progress toward treatment goals.

The DSM-IV Diagnosis section for the Progress Note has a fourth tab to record Reason for Change to a diagnosis.

Familiarize yourself with the sections to determine which areas you want to address. You don't have to go to every screen, or fill in every field.

You can optionally enter a SOAP note.

Spell Check

Spell CheckSpell check the clinical sections by selecting Spell Check from the File menu or click the button on the toolbar. Be sure your cursor is in the field you want to check.

 

See Also

How to enter data

Using the side bar menu

Edit Progress Note

Print your note

Documentation Setup

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