Resiliency Coach Treatment Plan

Resiliency Coach Treatment Plan
Student Legal Name*

First NameLast Name
Parent/Guardian Legal Name*

First NameLast Name
Resiliency Coach

First NameLast Name
Please indicate your relationship to the client

SelfParentLegal guardianConservator Health Care AgentOther
Date*

MonthDayYear
Date
Signature*

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The signatures indicate participation and agreement on the goals and objectives developed for the treatment plan. The "Plan Date" indicates the date participants discussed the goals, objectives, and planned services. The client/parent/guardian signature indicates that the person can access a copy of "Rights and Responsibilities" and this plan.
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