Copy the format you use into new session pages, or set it as a database template: in Sessions, click the dropdown next to the blue New button → New template → paste your format → set as default.
Client's reported experience, symptoms, direct quotes.
Observable presentation: affect, engagement, behavior, measures administered.
Clinical interpretation: progress toward goals, risk factors, patterns.
Next steps: interventions, homework, frequency, referrals.
Combined subjective + objective: what happened, what was reported and observed.
Clinical judgment: meaning of the data relative to treatment goals.
Interventions planned, homework assigned, next appointment focus.