Behavior Therapy Session Report Form
Comprehensive session documentation for behavior therapy professionals.
Client Full Name
*
First Name
Last Name
Session Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Therapist Name
*
First Name
Last Name
Session Location
*
Please Select
In-person (Clinic)
In-person (Home)
Telehealth (Video)
Telehealth (Phone)
School
Community
Other
Session Type
*
Initial Assessment
Ongoing Therapy
Follow-up
Consultation
Other
Presenting Concerns
*
Target Behaviors
*
Aggression
Noncompliance
Self-injury
Tantrums
Elopement
Disruptive Behavior
Other
Observed Behaviors During Session
*
Aggression
Noncompliance
Self-injury
Tantrums
Elopement
Disruptive Behavior
Appropriate Social Interactions
Compliance
Other
Interventions Used
*
Positive Reinforcement
Prompting
Modeling
Redirection
Extinction
Functional Communication Training
Other
Client Response to Intervention
*
Progress Toward Goals
*
Significant Progress
Moderate Progress
Minimal Progress
No Progress
Regression
Risk / Safety Observations (if any)
Next Session Plan or Recommendations
*
Submit Report
Should be Empty: