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Client Termination Summary

INSTRUCTIONS:

With the client you selected in mind, address in a client termination summary (without violating HIPAA regulations) the following: •    Identifying information of client (e.g., hypothetical name and age) •    Date the client initially contacted therapist, date therapy began, duration of therapy, and date therapy will end •    Total number of sessions, including number of missed sessions •    Whether termination was planned or unplanned •    Presenting problem •    Major psychosocial issues •    Types of services rendered (e.g., individual, couple/family therapy, group therapy) •    Overview of treatment process •    Goal status (goals met, partially met, unmet) •    Treatment limitations (if any) •    Remaining difficulties and/or concerns •    Recommendations •    Follow-up plan (if indicated) •    Instructions for future contact •    Signatures •    4 resources
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