Progress Note – Information ONLY Note
Client:
InSyst #	Last Name	First Name
Procedure Code and Name:	Service Date:
Location:
Services were provided in:	by ☐ interpreter or ☐ clinician
Staff Information & Time – ENTER ALL TIME IN MINUTES
Agency:	RU:	Total Time (below):
Start Time:	End Time:
Instructions and Pre-Existing Diagnoses
When writing progress notes, respond to problems/goals/objectives of treatment plan and signs and symptoms related to diagnosis. Include treatment interventions and address changes in the client’s functioning. If there is little progress, include an explanation of the limited progress.
Progress Note
LPHA/SUD Counselor Signature	Printed Name/Credentials	Date