Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • 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

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.