Work Progress



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In your opinion, what factor(s), if any, limited progress or attainment of clinical objective(s) Please list: Was it necessary to modify your treatment plan (interventions and/or clinical objectives) during this period If yes, please explain: Yes No Do you recommend continuing the social work intervention If yes, what are the clinical objectives and what is the recommended frequency and estimated duration of the intervention: Yes No Do you wish to contribute any additional information or make further recommendations (e.g., ongoing risk issues) Yes No The information you provide on this form is collected under the authority of the Canadian Forces Members and Veterans Re-establishment and Compensation Act for the purpose of determining eligibility for the Rehabilitation Services and case management..

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