Gillman Hipaa progress note samples

Gillman Hipaa progress note samples

  This is the first of five posts to help you sort through your choices for clinical note taking. In addition to free form notes, there are at least four common ways to standardize and record this information. These categories typically include contact information, your client s presenting problem, your assessment, treatment and plan.   By the end of this series, you will have enough information to decide how best to keep your own clinical notes.   They are: Next week, I ll begin by showing you how to take a.   However, for those of you entering private practice, you have more leeway in deciding what your client notes, often called progress notes,   will look like. On Monday, Brenda Bomgardner, a student intern at, wrote in asking for efficient ways to record her clinical notes.