EAP Progress Notes - Magellan Provider
EAP Progress Notes
CLIENT NAME: _________________________________
CASE #: ________________
SESSION DATE: ________________________________ SESSION TIME: ________________________________ Check box if present:
Significant change in medical condition and/or medications Significant change in mental status
ATTENDEES: ___________________________________
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Date
SESSION DATE: ___________________________________ Check box if present:
Significant change in medical condition and/or medications Significant change in mental status
ATTENDEES: _________________________________
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
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Date
SESSION DATE: ___________________________________ Check box if present:
Significant change in medical condition and/or medications Significant change in mental status
ATTENDEES: _________________________________
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
Date
?2004-2019 Magellan Health, Inc. This document is the proprietary information of Magellan.
*Use blank pages if more notes are needed.
Rev. 11/19
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