END OF CARE SUMMARY
Counselor
Client (first name and initial of last name only)
Description of presenting issue
Length of care (# of appointments, overall time frame)
At the time of this submission, do you have any other appointments scheduled with this client?
*
Yes
No
If yes, what are the dates?
Brief description of care offered (i.e. main focus areas, resources, etc)
Reason for end of counseling/plan for ongoing growth
Any other important information to note...
Submit
Should be Empty: