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EAP Progress Notes - Magellan Provider

2004-2014 Magellan Health, Inc. This document is the proprietary information of 11/14 EAP Progress NotesCLIENT NAME: _____ CASE #: _____ SESSION DATE: _____ ATTENDEES: _____ SESSION TIME: _____ Check box if present: Significant change in medical condition and/or medications High Risk/ TOV issues presented Significant change in mental status New stressors and/or extraordinary events Describe: TARGET PROBLEM(s) Progress OR CHANGES*: REVISED OR NEW GOAL(s)*: SPECIFIC STRATEGIES, INTERVENTIONS, AND UPDATE*: Clinician Signature Credentials Date - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SESSION DATE: _____ ATTENDEES: _____ Check box if present: Significant change in medical condition and/or medications High Risk/ TOV issues presented Significant change in mental status New stressors and/or extraordinary events Describe: TARGET PROBLEM(s)

©2004-2014 Magellan Health, Inc. This document is the proprietary information of Magellan. Rev. 11/14 EAP Progress Notes CLIENT NAME: _____ CASE #: _____

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Transcription of EAP Progress Notes - Magellan Provider

1 2004-2014 Magellan Health, Inc. This document is the proprietary information of 11/14 EAP Progress NotesCLIENT NAME: _____ CASE #: _____ SESSION DATE: _____ ATTENDEES: _____ SESSION TIME: _____ Check box if present: Significant change in medical condition and/or medications High Risk/ TOV issues presented Significant change in mental status New stressors and/or extraordinary events Describe: TARGET PROBLEM(s) Progress OR CHANGES*: REVISED OR NEW GOAL(s)*: SPECIFIC STRATEGIES, INTERVENTIONS, AND UPDATE*: Clinician Signature Credentials Date - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SESSION DATE: _____ ATTENDEES: _____ Check box if present: Significant change in medical condition and/or medications High Risk/ TOV issues presented Significant change in mental status New stressors and/or extraordinary events Describe: TARGET PROBLEM(s) Progress OR CHANGES*: REVISED OR NEW GOAL(s)*: SPECIFIC STRATEGIES, INTERVENTIONS, AND UPDATE*.

2 Clinician Signature Credentials Date - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - SESSION DATE: _____ ATTENDEES: _____ Check box if present: Significant change in medical condition and/or medications High Risk/ TOV issues presented Significant change in mental status New stressors and/or extraordinary events Describe: TARGET PROBLEM(s) Progress OR CHANGES*: REVISED OR NEW GOAL(s)*: SPECIFIC STRATEGIES, INTERVENTIONS, AND UPDATE*: Clinician Signature Credentials Date *Use blank pages if more Notes are needed.


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