Completed Treatment Plans

Completed Treatment Plans

*New Requirement: Please upload the completed plan at the bottom of this form before submitting.*
Please complete this form upon finalizing a Treatment Plan:
- Use this form once the Treatment Plan write-up is completed and ready for submission.
- Limit all assessment sessions to a maximum of two hours per day to align with billing guidelines.
- Ensure all data, documentation, session notes, goals, treatment recommendations, and proposed service hours are accurate, finalized, and consistent with the Treatment Plan.
- If you have any questions, please reach out to your supervisor before submitting.
Provider Name*
Client Initials*
Treatment Plan Uploaded to Files Tab on Central Reach?*

YesNo
Treatment Plan Signed by Family?*

Yes, plan is signedNo, intake team should send for signature
Sessions Converted on Central Reach? *If there is no Authorization in CR please reach out to intake@magnetaba.com*

YesNo
Total Hours Authorized:*
Session Dates and Times: *Reminder, only two hours per day*
Total Hours Used:*
Comments:
Please Upload Completed Plan*

Cancelof
Should be Empty: