• Ready-to-use clinical documentation
  • Audit & accreditation compliant
  • Pre-programmed for intelligent movement of data
  • Automatic updates

The Behavioral Health Profile was created to eliminate anxiety about new regulations and audits. This clinical documentation and workflow adheres to common State regulations, UnitedHealth's (Optum) level of care guidelines and audit tools, as well as standards recommended by The Joint Commission and CARF. Our in-house Clinical team has worked hard to maintain an efficient workflow by eliminating redundancies and double-data entry. The best part: BestNotes will automatically update and maintain this documentation for you!

Behavioral Health Profile content

The documentation included in the Behavioral Health Profile are listed below


Online Patient Application and Pre-Screen


Comprehensive Diagnostic Assessment

Psychiatric Evaluation

Nursing Assessment

History and Physical Exam

Peer Support Assessment

Recovery Coaching Assessment

Treatment planning

Master Treatment Plan

Discharge Summary

Case Management Plan

Skill Building (CBRS) Plan

Peer Support Plan

Recovery Coaching Plan

Delivery of care

Group Therapy Note

Progress Notes:  Clinical, Psychiatric, Medical, Nursing, CBRS, Family Support, Peer Support, Recovery Coaching, and Case Management

Operational support

Missed Service Note

Collaboration of Care Note

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Behavioral Health Profile updates

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