TCM Note
Before continuing with this TCM/ Progress Note, check the "90 day Roster" on the TCM spreadsheets. If the patient does not have an active Treatement Plan or requires an update, please complete a Treatment Plan first. To access the Treatment Plan note, click on this LINK.
If a TCM/ Treatment Plan is not required or is currently active, then proceed with this TCM/ progress note!
ASAM SIX DIMENSIONAL CRITERIA SCALE ASSIGNED LEVEL OF CARE / ASAM CLINICAL SUMMARY
TCM TREATMENT PLAN / PROBLEM LIST
PROGRESS NOTE
This patient has Hepatitis C or carries a significant risk of having Hepatitis C. Hepatitis C is a chronic and complex health issue that has significant implications for the patient and for public health in general. Untreated, Hepatitis C will shorten a patient's lifespan by 20 years. Patients with untreated Hepatitis C will likely infect up to 20 other individuals in their lifetime. According to the CDC, Hepatitis C is an epidemic that's a major public health threat in the United States. It's also known as a "silent epidemic" because many people don't know they have it as they don’t have symptoms. Over the past 10 years, cases of Hepatitis C have more than doubled.
The CDC recommends Hepatitis C screening and sexually transmitted disease (STD) screening particularly in high risk groups like patients with opioid use disorder. Diagnosing and treating Hepatitis C is a complex and time intensive process that requires multiple providers to ensure that care is coordinated and delivered efficiently. Case managers are a critical component as they facilitate this process.
SIGNING and BILLING
I spent 30blanks minutes on the patient's case today. Today's encounter was in office, face to face (direct).Please Select
Single Diagnosis TCM
The patient had 4 contacts over the course of the calendar month. 2 contacts were "direct" or face to face and 2 contacts were "indirect" where service was provided on behalf of the patient.
Dual Diagnosis TCM (i.e., opioid use disorder plus Hep C)
The patient had 5 contacts over the course of the calendar month. 3 contacts were "direct" or face to face and 2 contacts were "indirect" where service was provided on behalf of the patient.
Today's provider was Kevin Johnson, MEd. This provider's email is: . The TCM supervisor is Lena Kline, LPCC-S (lena.kline@specialistsmat.com).
Client Progress Report
Client Progress Report for Psychotherapy PDF template provides the essential information that should contain in a clinical psychotherapy report such as the name of the patient, the type of session made with the patient, the date of the session, a comprehensive assessment, and treatment goals and objective for the patient/client.
Pregnancy Verification Template
Verify the pregnancies of your clinic’s patients easily. Drag and drop to customize your form. Send out copies. Works on desktop, tablet, and mobile devices.
Release of Information Template
The Release of Information Template is a document that authorizes the disclosure of official or medical records to specific individuals or organizations
Short Medical History
Medical History Record PDF template is mostly used in order to provide significant information about the health history, care requirements, and risk factors of the patient to doctors. It is for collecting data from the patients.
Medical Invoice Template
Generate PDF invoices for patients with this free, easy-to-customize Medical Invoice Template. Send to patients automatically with an autoresponder.
Doctors Note Template
Create a doctor’s note for your medical practice. Sign and send to your patients. Works on mobile, tablet, and desktop devices. Drag and drop to design.
These templates are suggested forms only. If you're using a form as a contract, or to gather personal (or personal health) info, or for some other purpose with legal implications, we recommend that you do your homework to ensure you are complying with applicable laws and that you consult an attorney before relying on any particular form.