Yasmin Farouk — Dec 22, 1969

Draft

CN-H301713 · Client Visit · Dana Reyes

Task Type
Client Visit
Date of Service
Dec 22, 1969
Start / End
10:00 – 11:00
Total Units
0
Service Code
H0043
Program
Housing - HRSN
Stage
—
Place / Contact
Office · In-person
Billable
Yes
Billing Unit Calculation
Read-only · from Billing Unit Settings
Program
Housing - HRSN
Duration
1 hour
Billing Rule
Billing Configuration Required
Calculated Units
—

Billing Configuration Required — no Active billing rule covers Housing - HRSN on this Date of Service. Units are not calculated and this note cannot proceed to billing until an Admin adds a rule under Admin System → Billing Unit Settings.

Staff:Dana ReyesWLP: VerifiedMedicaid: Verified Billing: Draft
Session Time
Duration (auto)1h 0m

End Time must be later than Start Time, duration must be greater than zero, and the session cannot overlap another confirmed appointment for Dana Reyes.

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*
Yasmin Farouk
ProviderOne ID
145200345WA
Title
Housing care plan session

Synced from the Scheduling task title.

Date*
1969-12-22
Start Time
10:00

Use the Session Time function to correct times before submission.

Duration
1h 0m
End Time*
11:00
Provider (Case Manager)*
Dana Reyes
Task Type*
Client Visit
Program*
Housing - HRSN
Stage
—
Service Scope*
Direct Client Service
Contact Type
In-person
Place of Service
Office
Contact Information / Details
Case Manager Digital Signature

Not signed yet — use the Sign Note action to apply your digital signature. The signature always uses the logged-in Case Manager's identity and is recorded in the Activity Log.

Billing Unit Calculation
Read-only · from Billing Unit Settings
Program
Housing - HRSN
Duration
1 hour
Billing Rule
Billing Configuration Required
Calculated Units
—

Billing Configuration Required — no Active billing rule covers Housing - HRSN on this Date of Service. Units are not calculated and this note cannot proceed to billing until an Admin adds a rule under Admin System → Billing Unit Settings.

Goals (Active Treatment Goals)*
No active housing goals available.
Contextual data from the Housing Goals tab. 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.