Once a note has been signed and completed, changes are made through a Treatment Plan Addendum.
To do this, go to the top panel under Patients > New Appointment and select Treatment Plan Addendum as the appointment type.
The system will load all the information from the existing Treatment Plan, and you will be able to:
Update the status of a goal (discontinue it or mark it as not met).
Assign a new date or Targeted Date.
(Optional) Enter the reason why the goal was not met or was discontinued.
This way, the Addendum is linked to the original plan while keeping the full history of changes.