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Treatment Plan Template

Client’s Name:

Other Agencies That Should be Involved in Client’s Treatment:

1.

2.

3.

Problem/Symptom:

1.

2.

3.

Long-Term Goal:

Short-Term Goals/Objectives:

1.

2.

3.

Involvement of Family:

Factors That May Contribute to Relapse:

1.

2.

3.

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