WU2408266 (RC) Client Notes

Patient ID Number

Allocated Psychotherapist

Session Notes

This Session Notes *

Key Areas To Address In The Next Session *

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Risk Assessment

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

No

Yes

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

No

Few Days

Most Days

Almost Every Day

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

No

Few Days

Most Days

Almost Every Day

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

No

Few Days

Most Days

Almost Every Day

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

No

Yes

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Sessions

Privately Paid

NHS Funded

Sessions Paid for?

1 (pay as go)

3 (saver3)

Sessions left

0

1

2

OtherOther

Session Number Approved

How many NHS sessions left? *

Does she want further sessions?

No

Yes

What would she like?

Saver 3 (3 sessions)

Single session

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Confirmation

Date of next session

Time of next session?

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