Ethan Nguyen — Aug 28, 2026

Approved

CN-26004 · Client Visit · Priya Shah

Client
Ethan Nguyen
Task Type
Client Visit
Date of Service
Aug 28, 2026
Start / End
09:00 – 10:00
Total Units
4
Service Code
H2025
Program
Employment
Stage
Job Retained
Place / Contact
Office · In-person
Billable
Yes
Billing Unit Calculation
Read-only · from Billing Unit Settings
Program
Employment
Duration
1 hour
Billing Rule
1 Unit / 15 Minutes
Calculated Units
4
Staff:Priya ShahWLP: VerifiedMedicaid: Verified Billing: Approved
This note is locked after submission

Start Time, End Time, Duration, Note Content, Task Type and Program / Stage can no longer be changed by the Case Manager. Only a Supervisor or Administrator can unlock it.

Session TimeLocked after submission
Duration (auto)1h 0m
DARP Progress Note — 1/5 sections complete20%
Not yet saved

Synced from Scheduling / Client Profile — read-only. Use the Session Time section above to correct times before submission.

Client*
Ethan Nguyen
ProviderOne ID
144099820WA
Title
—

Synced from the Scheduling task title.

Date*
2026-08-28
Start Time
09:00

Use the Session Time function to correct times before submission.

Duration
1h 0m
End Time*
10:00
Provider (Case Manager)*
Priya Shah
Task Type*
Client Visit
Program*
Employment
Stage
Job Retained
Service Scope*
Direct Client Service
Contact Type
In-person
Place of Service
Office
Contact Information / Details
Case Manager Digital Signature
Digitally Signed By
Priya Shah
Signed
Aug 28, 2026, 3:00 PM
Billing Unit Calculation
Read-only · from Billing Unit Settings
Program
Employment
Duration
1 hour
Billing Rule
1 Unit / 15 Minutes
Calculated Units
4
Goals (Active Treatment Goals)*
No active treatment goals available.
Contextual data from the Employment Program. Document the progress observed during this session under A – Assessment → Progress Toward Treatment Goals.
Presenting Concerns / Client Report
Chief Complaint*
Client's Self-Report*
Current Symptoms*
Significant Events Since Last Session
Safety Concerns (if applicable)
Appearance & Demeanor
Appearance
Hygiene / Grooming
Dress
Eye Contact
Behavior / Psychomotor Activity
Mood
Affect
Speech
Thought Process
Thought Content
Orientation
Insight / Judgment
Other Observations
Medical Necessity
Current Symptoms*
Functional Impairments*
Impact on Daily Functioning*
Reason Treatment Remains Medically Necessary*
Interventions Provided — OutcomesSelect all that apply and document supporting evidence.
Clinical Impressions*
Progress Toward Treatment Goals*
Response to Interventions*
Changes in Symptoms or Functioning*
Risk Assessment (if applicable)
Document AttachmentsNo documents attached
Attach supporting documents for this note — they stay linked to the note and client and remain visible during approval.