ABC HOSPITAL
INTENSIVE BEHAVIOR THERAPY FOR OBESITY PROGRAM RECORD and PROGRESS NOTE
Patient:______Provider:______ Initial 12 months Subsequent 12 months
RECORD VISIT # 1
/ ACTUAL / PROGRESS NOTE: Visit #______Date:______Behavior tools used^:
Wt: or by ______# Wt Goal:
Ht: BMI: Waist circum: BP:
Waist-hip ratio:Other Outcomes:
Rx Meds:
None No change Request
Behavior Goals Collaboratively Created related to:
Healthy eating Being active Taking meds
Pt monitoring Support Problem-solving
barriers to ______
______ Handouts provided
PHYSICIAN ACTION REQUESTED
SEE Addendum Note Attached
nOTES:
Assessment Wt loss targets + benefits Excess wt harms / Date:
Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Other health outcomes Behavior goals Medicare review
Pt monitoring logs Other behavior strategies
Reviewed topic of:
Other:
RECORD VISIT # __
/ Date:Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Corrected knowledge deficits Behavior change strategies
Behavior goals Goal achievement barriers to
Review of monitoring logs/outcomes Support for behavior
Reviewed topic of:
Other:
RECORD VISIT # __
/ Date:Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Corrected knowledge deficits Behavior change strategies
Behavior goals Goal achievement barriers to
Review of monitoring logs/outcomes Support for behavior
Reviewed topic of:
Other:
RECORD VISIT # __
/ Date:Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Corrected knowledge deficits Behavior change strategies
Behavior goals Goal achievement barriers to
Review of monitoring logs/outcomes Support for behavior
Reviewed topic of:
Other:
RECORD VISIT # __ / Date:
Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Corrected knowledge deficits Behavior change strategies
Behavior goals Goal achievement barriers to
Review of monitoring logs/outcomes Support for behavior
Reviewed topic of:
Other:
RECORD VISIT #__ / Date:
Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Corrected knowledge deficits Behavior change strategies
Behavior goals Goal achievement barriers to
Review of monitoring logs/outcomes Support for behavior
Reviewed topic of:
Other:
RECORD VISIT #__ / Date:
Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Corrected knowledge deficits Behavior change strategies
Behavior goals Goal achievement barriers to
Review of monitoring logs/outcomes Support for behavior
Reviewed topic of:
Other:
RECORD VISIT #__ / Date:
Initials:
Hrs: 0.25 0.5 1 2
Individual Group
Also present: Corrected knowledge deficits Behavior change strategies
Behavior goals Goal achievement barriers to
Review of monitoring logs/outcomes Support for behavior
Reviewed topic of:
Other:
^ K = Knowledge S = Skill G = Goal Setting M =Monitoring by Pt C = Confidence O = Obstacles P = Problem Solving H =Handouts DS = Discussion D = Demo V=Video
Other: Educator Signature/Initials:
ABC HOSPITAL
INTENSIVE BEHAVIOR THERAPY FOR OBESITY PROGRAM RECORD and PROGRESS NOTE
Patient:______Provider:______Date:______
Addendum Note
______
______
______
______
______
______
______
Educator Signature/Initials: Educator Signature/Initials:
MARY ANN HODOROWICZ CONSULTING, LLC
Nutrition, Diabetes Care & Education, Health Promotion and Insurance Reimbursement for
Professionals for the Healthcare and Food Industry
12921 Sycamore Palos Heights, IL 60463 Ph: 708.359.3864 Fax: 866.869.6279