Session Notes

WU2291472 RB Client Notes

Patient ID Number

Allocated Psychotherapist

Date

Has the Client Self-Harmed Since The Last Session? *

Has the Client Currently Got Thoughts of Self-Harming? *

Does the Client Think About Ending His/Her Life? *

Does the Client Know How To End His/Her Life? *

Does the Client Think That Life is Not Worth Living? *

This Session Notes *

Key Areas To Address In The Next Session *

How many sessions has she paid for? *

Remaining Sessions *

Does she want a new invoice for further sessions?

What would she like?

Date of Next Session *

Time of next session?

Therapist Signature

Session Notes – WU2291472 – RC