Session Notes

Session Note

• Calculates session duration

• Use the Contact Note window to write a quick summary or comment

• Write activities, outcomes, and numerical data for your specific goals

• Write a quick plan that will display on the next session note

• Add a to your To do list, or send a quick email to a parent or team member

Session Activities, Outcomes & Data are Attached to Goals:

Choose one of your goals or objectives,

• Write a descriptive activity and outcome.

• Add numerical data with our data entry tool.

• Include a picture or pdf

The Data Entry Tool 

• The data entry button opens a large screen to enter data

• Includes a counter, stopwatch, and timer

• Can be used for any activity 

• Compares performance to goal and objective criteria

Data Charts

• Charts progress from all sessions that have numerical data documented

• Data entered may be charted for any goal or objective

Medicaid CPT Code and Modifiers

• Drop down list of CPT codes is available on each session note

• Check box for modifiers

E Mail

• Can be set to use your preferred email program

• Send an email directly from the session note

• Emails and responses are recorded in work email system.