bshs_r3_database_template_2.xls
Demographics
| Client's Name | Address | City | State | Zip | Phone Number | Date of Birth | Age | Medications | Social Security Number |
| Chris Masterman | 12 West Street | Phoenix | AZ | 98798 | (602) 484-4839 | 01/15/00 | 17 | Adderall | 123-45-6789 |
| Christine Wilson | 1465 East Street | Chicago | IL | 87698 | (312) 758-9900 | 02/16/00 | 17 | Paxil | 234-56-7890 |
| Danielle Walton | 325 N 7th Street | Houston | TX | 65304 | (713) 887-8765 | 11/03/88 | 28 | Adderall | 345-67-8901 |
| Hannah Miles | 465 East 65th Ave | New York | NY | 19273 | (212) 465-3434 | 03/22/89 | 28 | Ritalin | 456-78-9012 |
| Jennifer Thomas | 517 North Road | Philadelphia | PA | 19104 | (215) 234-3689 | 06/15/02 | 14 | Xanax | 567-89-0123 |
| John Smith | 625 Cherry Tree Lane | Wilmington | DE | 19810 | (302) 655-9708 | 08/19/04 | 12 | Xanax | 678-90-1234 |
| Sarah Berry | 719 Old Church Road | Harrisburg | PA | 17044 | (717) 354-2658 | 09/01/04 | 12 | Ibuprofen | 789-01-2345 |
| Tarik Davis | 8119 North Elm Street | Charlotte | NC | 90537 | (704) 909-2365 | 12/31/03 | 13 | Xanax | 890-12-3456 |
| Ted Jackson | 925 South Spruce Trail | Orlando | FL | 63746 | (407) 334-5589 | 04/15/00 | 16 | Adderall | 901-23-4567 |
| Tom Johnson | 1000 Blossom Ave | Milwaukee | WI | 82020 | (414) 354-8393 | 11/30/00 | 16 | Ibuprofen | 423-94-0387 |
Encounters
| Client's Name | Therapist Seen | Service Provided | Date of Service | Hours of Service | Fee per hour | Amount Due | Amount Paid | Balance |
| Chris Masterman | Frank Mullins | Individual | 04/01/12 | 1 | $60 |
| Chris Masterman | Frank Mullins | Family | 04/08/12 | 1.5 | $60 |
| Chris Masterman | Frank Mullins | Family | 04/15/12 | 1.25 | $60 |
| Chris Masterman | Frank Mullins | Medication | 04/22/12 | 0.5 | $60 |
| Chris Masterman | Frank Mullins | Individual | 04/29/12 | 1 | $60 |
| Jennifer Thomas | Jodie Blackwell | Individual | 07/01/12 | 0.75 | $45 |
| Jennifer Thomas | Jodie Blackwell | Family | 07/08/12 | 1.75 | $45 |
| Jennifer Thomas | Jodie Blackwell | Family | 07/15/12 | 2 | $45 |
| Jennifer Thomas | Jodie Blackwell | Family | 07/22/12 | 1 | $45 |
| Jennifer Thomas | Jodie Blackwell | Medication | 07/29/12 | 0.5 | $45 |
| Tarik Davis | Shannon Holmes | Medication | 11/01/12 | 0.5 | $75 |
| Tarik Davis | Shannon Holmes | Medication | 11/08/12 | 0.25 | $75 |
| Tarik Davis | Shannon Holmes | Individual | 11/15/12 | 2 | $75 |
| Tarik Davis | Shannon Holmes | Family | 11/22/12 | 1.75 | $75 |
| Tarik Davis | Shannon Holmes | Family | 11/30/12 | 1.25 | $75 |
Ddlalicous1
