Upload photo of signed paper billing form (if applicable).

Was today's session completed as scheduled?

Location of services delivered
Session start time
Session end time

Name of client receiving services

Name of parent receiving services

Parent signature (or adult in charge)
RBT signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.