Free template
Free PIRP note template
A clean, printable PIRP note template (Problem, Intervention, Response, Plan) with prompts and a worked example. Free, no signup. Print it, or write notes in seconds inside Soap Notes.
PIRP Note
Client: ______________________
Date: ______________________
Session #: ______________________
Clinician: ______________________
Problem
The specific problem or presenting issue the session focused on. Keep it to one clear issue you can track over time.
Intervention
What you did to address the problem: the technique or approach. Lead with a verb.
Response
How the client responded to the intervention.
Plan
Next steps, homework, and the focus for the next session.
A filled-in example
P, Problem
Client reported increased panic attacks this week, two in the past three days, triggered by work deadlines.
I, Intervention
Taught a paced-breathing technique and mapped the panic cycle using a CBT worksheet.
R, Response
Practiced the breathing in session and reported it eased the physical symptoms; identified the trigger thought.
P, Plan
Use the breathing technique at the first sign of panic; log episodes. Review the log next session.
Want the full breakdown? Read: How to write a PIRP note
More free templates: SOAP Note · Progress Note · Client Intake Form · Treatment Plan · DAP Note · BIRP Note · Informed Consent Form · Superbill · Discharge Summary · GIRP Note
Who uses this template
Related guides
Frequently asked questions
Skip the paperwork
Document sessions in seconds with reusable templates and autosave, plus scheduling, invoicing, and a client portal. Free for solo practitioners.