Application: Exercise 6.2

Application: Exercise 6.2

Using the contact note template below to create your own contact note for the session displayed in this Intake Video from the Oregon Department of Human Services. You should be sure to include information on 1) the focus of the session; 2) a summary of the client’s behavior, appearance, and affect; 3) any resolution(s) that occur; 4) Any follow-up that will occur

Contact Note Template

Client Name:                                      Date of Contact:

Length of session: _____________minutes

Type of Contact (select one):

Individual Session

Telephone

Family Meeting

Group Session

Other contact: _______________

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Social Worker Signature: ____________________________ Date: _________