Chart Note for

Name:
DOB:

Age:

Student Pharmacist Note

S:

Meds:

Allergies/ADRs:
PMH:

SH:
O: Wt

Ht

A:
P: *Recommend:
1)
2)
3)
4)
5)
[ Your name:

, Student Pharmacist (P1)

]

______________________________________________________________________________________
Additional points to remember when writing a chart note:
a) Write with black ink only OR type
b) Use neat, legible writing.
c) No spelling errors or crossing out. If you make an error, draw a single, neat line through it and initial it.
d) Do not have gaps or spaces between sections
e) Sign and date each page. If more than 1 page, write 1 of 2 and 2 of 2, etc, at the bottom of the pages
f) Full sentences are not necessary, but include enough information to make sense

SOAPNOTE-SPPS201-202Fall 2014