Group Yoga Therapy Class Note (Attendance & Response)

Date of Service: [Date of service] (If missing, enter "[not documented]")

Start Time – End Time: [Start time] – [End time] (If missing, enter "[not documented]")

Location / Delivery Mode: [Location] [in-person / telehealth / hybrid]

Facilitator(s): [Facilitator name(s) and credentials] (If missing, enter "[not documented]")

Group Type / Session: [Group type or session title]

Attendance

Total participants: [Number present] (If unknown, write "Attendance count not recorded.")

This participant: [Attendance details: on-time / late, early departure, total minutes present if partial] (Do not include names or identifiers of other participants.)

Session Theme & Practices

Therapeutic focus: [Theme or objective for this session]

Practices delivered: [Summary of opening/centering, breathwork, movement sequence, and closing relaxation/meditation with technique, duration, and props/modifications offered] (Use concise dosage notation, e.g., "paced breathing 4:6 ratio x 5 min, seated." Present as flowing summary or brief list without separate subsections.)

Safety & Response

• Pre-class screen: [Performed / not performed] [Relevant findings]
• Safety reminders: [Attestation that standard reminders were provided regarding working within tolerance, stopping with concerning symptoms, and using props/supports]
• Adverse events: [No adverse events observed or reported. / Onset, symptoms, severity, actions taken, outcome, notifications made] (Required—if none, use exact phrase "No adverse events observed or reported.")
• Participation level: [full / partial / observed only]
• Subjective response: [Symptoms before/after, meaningful participant statements if relevant to safety or symptom clarification]
• Objective observations: [Movement quality, balance, breath coordination, cueing response, modifications used, tolerance]
• Goal progress: [Progress toward care plan goals, or therapeutic benefit observed if no formal goals] (Omit if not applicable.)

Plan

• Home practice: [Technique, dose/frequency, safety cautions, guidance on when to stop and seek care] (Include only if provided.)
• Next session: [Anticipated next class or continuation plan]
• Referrals/coordination: [Referrals or care team communication if indicated] (Omit if none.)

Authenticated by: [Name, credentials, date/time]

(Model B individual chart documentation: document only this participant's attendance and response without identifying other participants. Use objective, behaviorally anchored language. Enter "[not documented]" for missing required fields: date, time, facilitator, attendance count, adverse event statement. Omit optional content not mentioned in dictation.)