HBAI GROUP INTERVENTIONS PROGRESS NOTES, SESSION 1 Participant Name: _________________________________ Date of Birth: _________________ Session Date: _________________ Content Overview: Understanding self-management and chronic diseases Mind/body connection/Distraction Getting a Good night’s sleep Making an action plan Individualized Weekly Action Plan/Goal Setting: What (specific action): ___________________ How often: ________________________ How much: _________________________________ Significant observations or concerns voiced: __________________________________________ ______________________________________________________________________________ Group Leader’s Signature: ______________________________________ Date: ____________ Licensed Clinician’s Signature: ___________________________________ Date: ____________ HBAI GROUP INTERVENTIONS PROGRESS NOTES, SESSION 2
HBAI GROUP INTERVENTIONS PROGRESS NOTES, SESSION 1 Participant Name: _________________________________ Date of Birth: _________________ Session Date: _________________ Content Overview: Understanding self-management and chronic diseases Mind/body connection/Distraction Getting a Good night’s sleep Making an action plan Individualized Weekly Action Plan/Goal Setting: What (specific action): ___________________ How often: ________________________ How much: _________________________________ Significant observations or concerns voiced: __________________________________________ ______________________________________________________________________________ Group Leader’s Signature: ______________________________________ Date: ____________ Licensed Clinician’s Signature: ___________________________________ Date: ____________ HBAI GROUP INTERVENTIONS PROGRESS NOTES, SESSION 2
HBAI-Group-Interventions-Progress-Notes_Sample-Form_FINAL.docx