EAP Progress Notes - Magellan Provider

EAP Progress Notes

CLIENT NAME: _________________________________

CASE #: ________________

SESSION DATE: ________________________________

SESSION TIME: ________________________________

Check box if present:

ATTENDEES: ___________________________________

Significant change in medical condition and/or medications

Significant change in mental status

High Risk/ TOV issues presented

New stressors and/or extraordinary events

Describe:

TARGET PROBLEM(s) PROGRESS OR CHANGES*:

REVISED OR NEW GOAL(s)*:

SPECIFIC STRATEGIES, INTERVENTIONS, AND UPDATE*:

Clinician Signature

Credentials

-------------------------------------------------------------------SESSION DATE: ___________________________________

Check box if present:

Date

ATTENDEES: _________________________________

Significant change in medical condition and/or medications

Significant change in mental status

High Risk/ TOV issues presented

New stressors and/or extraordinary events

Describe:

TARGET PROBLEM(s) PROGRESS OR CHANGES*:

REVISED OR NEW GOAL(s)*:

SPECIFIC STRATEGIES, INTERVENTIONS, AND UPDATE*:

Clinician Signature

Credentials

-------------------------------------------------------------------SESSION DATE: ___________________________________

Check box if present:

Date

ATTENDEES: _________________________________

Significant change in medical condition and/or medications

Significant change in mental status

High Risk/ TOV issues presented

New stressors and/or extraordinary events

Describe:

TARGET PROBLEM(s) PROGRESS OR CHANGES*:

REVISED OR NEW GOAL(s)*:

SPECIFIC STRATEGIES, INTERVENTIONS, AND UPDATE*:

Clinician Signature

Credentials

?2004-2019 Magellan Health, Inc. This document is the proprietary information of Magellan.

*Use blank pages if more notes are needed.

Date

Rev. 11/19

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