36C24118Q0304-00001002.pdf
PDF 88 KB Posted
- Attached to
- Farmington Readjustment Counseling Services
- Solicitation number
- 36C24118Q0304
About this file
36C24118Q0304 00001 COTR Treatment Plan.pdf
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Other files
| File | Type | Posted |
|---|---|---|
| 36C24118C0073-000.docx | DOCX document | |
| 36C24118Q0304-00001001.pdf | ||
| 36C24118Q0304-00001000.docx | DOCX document | |
| 36C24118Q0304-00001004.pdf | ||
| 36C24118Q0304-00001003.pdf | ||
| 36C24118Q0304-001.pdf | ||
| 36C24118Q0304-000.docx | DOCX document |
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Text version
Fee Contract Treatment Plan
Veterans Name: Number: Date:
Treatment Plan Date: Treatment Plan Entered:
Symptom(s):
Planned Intervention(s):
Expected Outcome(s):
Quality Indicator(s):
Date of Resolution/Inactivity:
COTR Reviewed Clinician Signature
| Number: |
| Veterans Name 1: |
| Date: |
| Treatment Plan Date: |
| Treatment Plan Entered: |
| Date of ResolutionInactivity: |
| Text2: |
| Text3: |
| Text4: |
| Text5: |
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