PA 622 Week 6 Collateral Contact Note Example

Clinical Clerkship: Behavioral Health Chamberlain University Free custom sample in 24 to 48h

This PA 622 Week 6 sample paper documents a call with a patient's sister, opening with exactly what the patient agreed the team could discuss and what was excluded. Chamberlain PA 622 (PA-622), Clinical Clerkship: Behavioral Health, asks Master of Physician Assistant Studies (MPAS) students to write collateral that protects two people. The note records verbal permission at 13:40 excluding the marriage, lists the questions asked before any answers, starts every answer with "Sister reports," including a 20:30 text that changed the risk picture and an offer of a place to stay, leaves out the sister's own health history and cites the federal access rule.

CoursePA 622 Clinical Clerkship: Behavioral Health
Week6
Paper typeCollateral contact note
LengthAbout 460 words, 5 pages
FormatAPA 7 student paper
SchoolChamberlain University
ProgramMaster of Physician Assistant Studies (MPAS)
UpdatedOctober 2026

Free sample paper for PA 622 Week 6

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Collateral Contact Note With the Patient's Sister: The Permission Named First and Exactly, Each Statement Attributed in a Form That Survives Copying, the Questions Asked Before the Answers and What Belongs to the Sister, Not the Patient

Student Name

Chamberlain University

PA 622: Clinical Clerkship: Behavioral Health

Instructor Name

Month Day, Year

What this page is doingThe title puts permission first and keeps the sister's own information out, which is how a collateral note protects both people.
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Collateral Contact Note With the Patient's Sister: The Permission Named First and Exactly, Each Statement Attributed in a Form That Survives Copying, the Questions Asked Before the Answers and What Belongs to the Sister, Not the Patient

Permission Before Anything Else

October 2, 2026, 14:00. The patient gave verbal permission at 13:40, witnessed by the unit nurse, for the team to speak with the patient's sister about: recent alcohol use, sleep, the events of October 1 and the plan for discharge. The patient did not give permission to discuss the marriage. Permission recorded in the consent section of the chart.

What this page is doingRecording exactly what the patient agreed to, including the topic excluded, defines the limits of the call before it begins.
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The Questions Came Before the Answers

Asked: How much has the patient been drinking, and since when? How has the patient been sleeping? What happened on October 1 before the police were called? Is there anyone at home who could stay with the patient after discharge? Are there firearms at home?

Attribution That Survives Copying

Each line begins with the source so that, if copied into a later note, it still says who said it.

Sister reports: patient drinking "most nights," usually four to six beers, for about a month since the job loss was announced.

Sister reports: patient sleeping on the sofa, "up at all hours."

Sister reports: patient sent a text at 20:30 on October 1 saying "sorry for everything," which prompted the sister to call the neighbor.

Sister reports: no firearms in the patient's home; the sister checked with the patient's spouse.

Sister reports: willing to have the patient stay for one week after discharge.

What this page is doingStarting every line with its source means the attribution survives when a later note copies a single sentence.
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What Is Not This Person's Record

The sister mentioned her own treatment for depression. That is not recorded here, because it is the sister's information, not the patient's, and the patient's record is read by many offices.

The sister also asked what the patient had told the team about the marriage. The answer given was that the team could not discuss what the patient had said, and this request is recorded so a later caller asking the same is handled the same way.

What this page is doingLeaving out the sister's own health information shows the note was written to protect both people, not just to collect facts.
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How It Is Used

The text message at 20:30 changes the risk picture and was discussed with the attending at 14:30. The offer of a place to stay feeds the discharge plan. The note may later be read by the patient (Access of Individuals to Protected Health Information, 2024), which is one more reason every line carries its source.

References

Access of Individuals to Protected Health Information, 45 C.F.R. ยง 164.524 (2024).

Reading the PA 622 Week 6 instructions

The sixth week asks for a collateral contact note of a third to half a page. Permission opens it, named as a specific thing: what the patient agreed to, including any topics excluded, or the authority a guardian holds. List the questions you asked before recording any answers. Attribute every statement in a form that survives copying into later notes, so each line still says who said it. Leave out what is not the patient's record, such as the informant's own health information. Say how the information was used. If the informant asked you not to repeat something, record that request and how it was handled. Cite the rule that makes careful attribution necessary.

How this PA 622 Week 6 example is built

The note dates the call to October 2 at 14:00 and records permission given at 13:40, witnessed by a nurse, covering alcohol, sleep, the events of October 1 and discharge, and excluding the marriage. The questions are listed first: drinking, sleep, the events before police were called, someone to stay with the patient and firearms. Answers each begin with "Sister reports": most nights, four to six beers for a month; sleeping on the sofa; a 20:30 text saying "sorry for everything"; no firearms; a week's stay offered. A section explains leaving out the sister's own treatment. The final section notes the text was discussed with the attending at 14:30, feeds the discharge plan and cites the privacy rule on patient access.

PA 622 Week 6 rubric: what full points look like

Collateral notes lose the most when permission is implied rather than recorded, especially when a topic was excluded. Next comes attribution that falls away after the first line, so later sentences read as the patient's history. Graders deduct heavily for recording the informant's own health information in the patient's chart. Faculty reward questions listed before answers, a source at the start of every line and a clear account of how the information was used. Recording an informant's request for discretion, and how it was handled, earns credit where relevant. Citation of the governing rule rounds out the grade.

PA 622 Week 6 help from the desk

Collateral notes most often go wrong by writing the relative's account as if it were established history. Another common problem is starting with the answers, so the reader cannot tell what was asked. Some notes also record a relative's own diagnoses because they came up. If your collateral source is different, such as a case manager, a guardian or a roommate, send the permission given and what was said; we would open with the exact permission, list the questions, attribute every line, leave out the informant's own information and say how it was used. If the informant asked for something not to be repeated, the note would record that.

Get a PA-622 Week 6 example written to your instructions

Send the scenario, the task as posted and the marking rows, and a finished example comes back to them inside 24-48h, free the first time. Where your section fixes the relationship of the informant or the permission basis, include that too, since both change the shape of this entry more than the content of the conversation does.

More PA 622 papers and MPAS samples

PA 622 Week 6 questions, answered

Who counts as collateral for this assignment?

Anybody but the patient, speaking about them: a relative, a housemate, a case manager, an outside clinician, sometimes a social worker from another agency. The example works whichever one your scenario names, and the relationship matters, because the permission basis and the boundary line at the end both change with it.

The informant asks us not to repeat something. How is that recorded?

The example records that a limit was placed and who placed it, without importing the material itself into a file that other offices will open later. That is a documentation choice rather than clinical guidance, and it is the choice the rubric usually looks for. Where your section handles it differently, send that wording and the entry follows it.

Does the informant's own history belong in this chart?

Almost never, and the example says so in a line rather than leaving it to inference. A relative's own diagnosis, employment or finances are their information, and this record is opened by offices with no reason to see any of it. What stays is the part bearing on the person the chart is about.

Where can I find a free PA 622 Week 6 sample paper?

The complete PA 622 Week 6 collateral contact note, opening with exact permission and attributing every line, is on this page.

What is left out of the PA 622 Week 6 sample?

The sister's mention of her own depression treatment, because it is her information and not part of the patient's record.