Get In Home Therapy Progress Note

This guide provides a comprehensive overview of how to successfully complete the In Home Therapy Progress Note online. By following these instructions, users can ensure that all necessary information is recorded accurately and efficiently.

Follow the steps to complete the In Home Therapy Progress Note effectively.

1. Press the ‘Get Form’ button to access the In Home Therapy Progress Note and launch the form in your preferred editor.
2. Fill in the person’s name by recording their first name, last name, and middle initial, in the order preferred by your agency.
3. Enter the record number which corresponds to your agency’s established identification number for the person.
4. Document the person’s date of birth in the appropriate field.
5. Input the organization name where the therapy is being provided.
6. In the therapeutic intervention provided/units section, indicate all interventions applied, checking each applicable option and specifying the number of units delivered, noting that one unit equals 15 minutes.
7. In the describe the intervention provided section, detail the specific intervention that was utilized, incorporating any methods or techniques applied during the session.
8. Document the person’s self-reported progress towards goals since the last session, integrating insights from family members or case managers.
9. If any new issues were presented today by the person, document them in the corresponding section. If none were reported, mark ‘None Reported’ and proceed to the next section.
10. Evaluate and document the person’s condition, including mood, affect, thought process, behavior functioning, and any noted medical or substance use issues.
11. Complete the risk assessment by indicating any areas of risk and describing any risky behaviors, noting how these were addressed during the session.
12. Identify the goal(s) that were addressed as per the individualized action plan, detailing specific objectives targeted during the therapy session.
13. Record the person’s response to the intervention, assessing their active participation and the impact on their goals.
14. Document any additional information or plans for future sessions, including homework or strategies to be employed.
15. Legibly print and sign your name, including credentials, and if necessary, the name and signature of a supervisor.
16. Indicate the time and date of the next scheduled appointment.
17. Complete the billing strip section by entering the date of service, provider number, location code, procedure codes, and modifiers as required.
18. Review all entries for accuracy before saving your changes.
19. Once finished, save the document, and choose to download, print, or share the form as needed.

Start filling out your In Home Therapy Progress Note online today for accurate documentation.