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BIRP note template
BIRP is useful when you want the note to show what the patient presented with, what you did, how they responded, and what comes next.
Template content
Copy or download, then paste into Wavo under My Templates.
BIRP Progress Note Behavior - Presenting behaviors, symptoms, affect, and relevant contextual factors this session. Intervention - Therapeutic interventions, techniques, and psychoeducation provided. Response - Patient engagement, understanding, skill use, and in-session response to interventions. Plan - Goals for next session, homework, coordination, risk follow-up if needed, and scheduling.
When to use this template
What makes the structure useful, and which visits it fits best.
Why this template works
Structural advantages for real documentation
Best for
Visit types and clinicians who use this format
- Makes interventions and patient response explicit for continuity and audits.
- Works well for goal-oriented and skills-based therapies.
- Straightforward to share as an organization template across a practice.
- 1Behavioral-health progress notes
- 2Skills-based and CBT-oriented sessions
- 3Group-practice documentation consistency
Example output shape
Illustrative excerpt of how a visit can land in this structure. Not a real patient record—review and edit every note before signing.
Behavior Client arrived tearful after argument with roommate; reports urge to isolate and skipped two social plans. Mood “overwhelmed,” affect labile. Sleep 4 hours. Denies SI/HI. Intervention Validated emotion; taught TIPP skill briefly and practiced paced breathing. Reviewed urge-surfing for isolation. Linked pattern to prior abandonment triggers without deep trauma processing today. Response Engaged well after initial shutdown; used TIPP in session and noted urge intensity drop 8→5. Able to identify one support text to send tonight. Insight fair. Plan Practice TIPP once before next high-stress interaction; send support text tonight. Next session: interpersonal effectiveness DEAR MAN for roommate boundary. Follow-up in 1 week.
How Wavo automates this
What the product actually does with your template.
2. Record or dictate
Capture the encounter with ambient recording or dictation. Wavo structures the note using your template.
3. Review and sign
Edit with Smart Transform if needed, then export or copy into your EHR. You stay responsible for the final note.
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Put this template to work on your next visit
Start free, paste the template, and see how Wavo documents in your structure.