Add Additional Notes
- On the Notes panel, enter a Narrative.
- In the Results of the Psychiatric Rehabilitation Readiness Determination field, click to enter a score and any other pertinent information.
- Enter details in the Strengths field.
- In the Clinical, immediate and other service related needs field, click to document the client's needs based on the referral information provided.
- Use the Rehabilitation aspirations field to relate the client's goals and desired outcome.
- Select No or Yes for Admission indicated and if Yes, enter a reason and/or disposition.
- Referral information can also be entered in the field.
- To order a referral for the client, click the Referral button to open the My Plan tabbed template on the Referrals tab.
- Use the Initial services field to free-text the services and/or activities that are provided to the client to meet the individual’s identified needs.
- Enter information about the family, household members, or significant others who are interviewed in the Collaterals interviewed field.