Health Care Plan Form - Online Care Plan

JC Christian Counseling

1821 Oregon Pike Suite 212 / Lancaster, PA 17601 / Office: (717) 278-8326 / Fax: 1- 866-285-7198

ON-LINE CARE PLAN

Primary concern/problem:

Secondary concerns:

Primary diagnosis (if applicable):

Secondary diagnosis (if applicable):

ON- LINE CARE PLAN

II.) Goal:

Objectives:

III.) Goal:

Objectives:

I		have assisted in the creation and development of my care plan. These are the
goals and objectives that I want to accomplish for myself. I recognize that the goals and objectives can and may change throughout the timeframe of my therapy, either by accomplishing my goal or deciding that certain goals are no longer a goal in which I choose to achieve, at which during that time, the counselor and I will make an addendum to the current care plan.