Assignment With the client you selected in mind address in a client termination summary without violating HIPAA regulations the following:

Assignment
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)
The date the client initially contacted the therapist, date therapy began, duration of therapy and date therapy will end
Total number of sessions, including the 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 the 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

 

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