Help Library
Frequently Asked Questions
Session Notes
2 min
can i record my own notes in the hopscotch platform? therapy session notes are for hopscotch clients only what type of format do i use for my progress notes and intake? our current intake and progress notes format was designed to follow a soap note format the subjective, goes in the āpresenting problemā section, the objective in the āsession focusā section, the assessment in the āmental statusā and ārisk assessmentā sections, as well as the āsession focusā (supporting your diagnosis), and the plan (for further treatment, followup, referrals, etc) in the āsession focusā section you can also use the āsession focusā section to include a summary of your intake information, any other details you need to document such as if you need to address risk, implementing a safety plan, or a referral to cps, and your treatment goals if they were developed in the intake session also, if you have your own intake format that you like to use, you can just copy and paste that documentation into the āsession focusā section here is a https //www simplepractice com/resource/soap note examples/?utm source=google\&utm medium=cpc\&network=x\&utm campaign=pmax wiley\&utm term=\&device=c\&matchtype=\&gclid=eaiaiqobchmiydhn4ewq givqrzmch1dvavoeaayasaaegjpzpd bwe we are redesigning our intake and progress notes templates and look forward to rolling that out soon can i use z codes for my notes? for clients using insurance for their sessions, we do not recommend providers use z codes for ongoing sessions as a stand alone diagnosis typically that would not be reimbursed by insurance companies if you meet with a client for an intake and they do not meet the criteria for a known diagnosis, then it may be appropriate to use a z code for that singular session, if there is a z code that fits your assessment there are situations where they can be used as part of a secondary diagnosis for ongoing sessions here is an https //blog therapynotes com/how and when to use z codes you can use z codes for eap clients, as typically a diagnosis is not required as part of our contract with them
