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Appendix 24.2

Clinical Progress Discharge Summary

Active clinic: [Company]

This form documents the client's clinical status and progress at the conclusion of ABA services. It records the areas of progress, the status of targeted maladaptive behaviors from intake to discharge, skill acquisition at discharge, caregiver participation, recommendations, and the overall clinical impression. It is completed by the supervising behavior analyst and may be used together with, or in place of, the Discharge Notification Form, depending on the documentation a clinic already maintains.

Client Information

Clinical Summary of Progress

During the course of ABA treatment, the client demonstrated progress in the following areas:

Maladaptive Behavior Status at Discharge

Target BehaviorStatus at IntakeStatus at DischargeCurrent Severity

Skill Acquisition Status at Discharge

Skill AreaStatus at Discharge

Caregiver Participation

Recommendations After Discharge

Discharge Clinical Impression

At the time of discharge, the client demonstrated:

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