Psychological Progress Report printable pdf download

Psychological Progress Report

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Family name:

Given name(s):

Date of birth: (yyyy-mm-dd)

VAC No./Service No.:

The present psychological progress report addresses the following time period:

From: (yyyy-mm-dd)

To: (yyyy-mm-dd)

Number of sessions:

Length of sessions:

Client failed to attend, or cancelled within 24 hours, on _________________ occasion(s).

Psychological treatment is being provided to the client for the following condition(s), as per the

most recent version of the Diagnostic and Statistical Manual (DSM):

Interpretation of psychological test results, if applicable:

Clinical objective(s) addressed during this time period:

Briefly describe the type(s) of clinical intervention(s) offered to the client:

What clinical objectives were met or partially met?

In your opinion, were there any factors that prevented progress or attainment of

Yes

clinical objective(s)?

Please list:

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VAC 743e (2009-11)

Psychological Progress Report