Free Patient Progress Note Template & AI Progress Note Maker

A Patient Progress Note is a dated record an author writes following a mental health therapy session, setting out identifying fields, session timing, diagnosis, participant details, and treatments. It is used to document clinical observations, patient status, and treatment interventions by therapists, counselors, social workers, and mental health clinicians, built with Template.net's AI-powered progress note builder.

A Patient Progress Note is a dated record an author writes following a mental health therapy session, setting out identifying fields, session timing, diagnosis, participant details, and treatments. It is used to document clinical observations, patient status, and treatment interventions by therapists, counselors, social workers, and mental health clinicians, built with Template.net's AI-powered progress note builder.

How to Create a Patient Progress Note for Free?

Creating a professional Patient Progress Note is quick and straightforward.
  1. Customize a Free Template
    Start with this free editable and printable Patient Progress Note template and personalize it for logging session dates, diagnosis, participant information, and mental health treatment interventions. (or )
  2. Generate an On-Brand Patient Progress Note with AI
    Describe the completed session or upload a care plan or goal sheet; AI will build the actual editable note with dated entry, start and end times, and participant details, ready to review and sign.
  3. Edit in the HTML5 Editor
    Update identifying data, session date, times, diagnosis, participants, medications, observation groups, treatment checklist, narrative notes, and the clinician signature line.
  4. Download a Printable PDF
    Download the finished progress note as a PDF for filing in records, handing off at session end, or keeping for your own documentation.

Patient Progress Note Observations and How Each One Is Recorded

This template already lays out appearance, judgement, and speech characteristics, and the list below sets out how each entry is actually recorded.
Document these observations the way each one is normally recorded — appearance of patient (ticked from a set of options with an optional free-text addition), judgement quality (ticked from a graded set of options with an optional free-text addition), patient insights (ticked from a graded set of options with an optional free-text addition), speech characteristics (ticked from a set of options with an optional free-text addition), thought content abnormalities (ticked from a set of options with an optional free-text addition), thought process abnormalities (ticked from a set of options with an optional free-text addition), mood state (ticked from a set of options with an optional free-text addition), behavioral observations (ticked from a set of options with an optional free-text addition), affect presentation (ticked from a set of options with an optional free-text addition), danger to self or others (ticked from a checklist with a free-text follow-up line), overall clinical status change (ticked from a set of options), response to treatment engagement (ticked from a set of options), notable clinical changes since last session (narrative sentence in the free-text box), treatment interventions used (ticked from a checklist with an 'other' free-text field), and session metadata (filled in labelled fields at top of the form).

Free Patient Progress Note Template & AI Progress Note Builder

By Template.net

Progress Note Generator