Behavioral Health Session Note Form
Use this form to document a behavioral health session, including session details, clinical observations, interventions, progress, risk/safety concerns, and follow-up planning.
Session and Client Details
Session Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Session Start Time
*
Hour Minutes
AM
PM
AM/PM Option
Session End Time
Hour Minutes
AM
PM
AM/PM Option
Client Name or Identifier
*
Clinician / Therapist Name
*
Session Type
*
Individual
Group
Family
Telehealth
In-Person
Other
Location or Modality Details
Session Number
Clinical Note Content
Presenting concern or reason for session
*
Observed mood, affect, appearance, and behavior
*
Mental status or clinical observations
*
Interventions used during session
*
Supportive counseling
Cognitive restructuring
Grounding techniques
Motivational interviewing
Psychoeducation
Relaxation training
Behavioral activation
Problem-solving skills
Safety planning
Other
Client response to interventions
*
Progress toward treatment goals
*
None
Limited
Moderate
Significant
Risk or safety concerns
*
No concerns reported
Passive suicidal thoughts
Active suicidal thoughts
Self-harm concerns
Harm to others concerns
Other safety concern
Follow-up plan or next steps
*
Treatment and Administrative Follow-up
Diagnosis / Clinical Focus
Next Appointment Date and Time
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Referrals / Resources Provided
Homework / Practice Assigned
Clinician Signature
Submit Session Note
Submit Session Note
Should be Empty: