BIRP Note Template

Provided by Progress Notes - The AI-powered documentation assistant for mental health professionals

Client Name: ________________________ Client ID: ________________________
Date of Service: ________________________ Session Duration: ________________________
Service Type: ________________________ Session #: ________________________
Diagnosis: ________________________ Insurance: ________________________
B - BEHAVIOR

Observable client behaviors, statements, self-reported symptoms, and other relevant information.

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

I - INTERVENTION

Therapeutic techniques, approaches, and specific interventions used during the session.

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

R - RESPONSE

Client's response to interventions and progress toward treatment goals.

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

P - PLAN

Ongoing treatment plan, assignments, referrals, and next steps.

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Next Appointment: _______________________

Clinician Signature: ________________________________ Date: _________________

Printed Name: ________________________________ Credentials: _________________