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Unformatted text preview: Date of last session: Number of sessions: Scheduled: Attended: Cancelled: Did not show: D. Kinds of services rendered q Individual psychotherapy, for sessions q Couple/family therapy, for sessions q Group therapy, for sessions q Other: E. Treatment goals and outcomes (code outcomes as follows: N = no change, S = some or slight [about 25% to 35%], M = moderate [about 50%], V = very good [about 75% to 100%], E = exceeded expectation) Goal Outcome F. Last diagnosis/diagnoses: Other notable aspects of treatment outcome, change, or progress: This is a strictly confidential patient medical record. Redisclosure or transfer is expressly prohibited by law. FORM 46. Termination summary form. From The Paper Office . Copyright 2003 by Edward L. Zuckerman. Permission to photocopy this form is granted to purchasers of this book for personal use only (see copyright page for details)....
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This note was uploaded on 07/01/2010 for the course COUN 6682 A and taught by Professor All during the Spring '10 term at Walden University.
- Spring '10