Termination Report

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  • This model is used to document why a client was discharged from a program.
  • Required fields: Reason for Discharge, Summary of Progress, Referral, Services Received.
  • Fields:
    • Termination Date
    • Diagnoses
    • Reason for Discharge
    • Services Received
    • Summary of Progress/Response to Treatment/Treatment Outcomes
    • Referrals/Aftercare Recommendations
    • Note