Note Types

BIRP Notes

A BIRP note documents therapy sessions in four sections: Behaviour, Intervention, Response, and Plan — focusing on what happened and how the client responded.

Note Types

DAP Notes

A DAP note is a streamlined clinical documentation format with three sections: Data, Assessment, and Plan — combining subjective and objective information.

Note Types

GIRP Notes

A GIRP note is a goal-oriented documentation format with four sections: Goals, Intervention, Response, and Plan — tying every session to treatment objectives.

Note Types

Progress Notes

Progress notes are clinical records that document a client's treatment progress over time, including session summaries, interventions, and outcomes.

Note Types

Psychotherapy Notes

Psychotherapy notes are a therapist's private process notes about a client's session, granted special protection under HIPAA and stored separately from the clinical record.

Note Types

SOAP Notes

A SOAP note is a structured method of clinical documentation that organises session information into four sections: Subjective, Objective, Assessment, and Plan.

Note Types

Termination Notes

A termination note is a clinical summary written at the end of treatment that documents the reason for ending therapy, progress made, and referrals provided.

Note Types