Counseling and guidance is documented in a series of case notes throughout the rehabilitation process. Effective counseling and guidance, and the documentation that follows it, helps to tell the consumer’s story.
Use a case note titled "counseling and guidance" in ReHabWorks to document that counseling and guidance is provided.
When counseling and guidance is provided in addition to another activity that requires documentation, such as resetting a PIN, document the two activities in separate case notes to ensure that a reviewer can tell that both services were provided.
Review the most recent case note before contacting the consumer to ensure that all issues are addressed.