SERVICE PROVIDER MONTHLY TREATMENT and PROGRESS SUMMARY 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the 'Client Name' and 'Month/Year of Services' at the top of the form. This sets the context for your report.
3. Fill in the 'Axis I Primary Diagnosis' and 'Axis II Primary Diagnosis' fields, ensuring accurate representation of the client's conditions.
4. Complete the eligibility status and any secondary or tertiary diagnoses as applicable, providing a comprehensive view of the client's mental health.
5. Indicate the 'Level of Care' and select all relevant 'Service Formats' and 'Service Settings' by circling your choices.
6. List service dates and up to ten targets addressed this month, checking off those that apply to ensure clarity on treatment focus.
7. Rate progress for each target using the provided scale, marking any intervention strategies utilized during this period.
8. Document psychiatric medications, including total daily doses and schedules, ensuring all information is current.
9. If applicable, complete discharge information and outcome measures to provide a full picture of client progress.
10. Finally, review all entries for accuracy before electronically submitting your completed form to CAMHD by the deadline.

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