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  • SOAP Note Template

    Uploaded by

    Jane Kuca
    5 views2 pages
    This SOAP note template provides guidelines for documenting a client session. The S (Subjective) section includes the client's history and current status. The O (Objective) section lists quantitative observations. The A (Assessment) involves analyzing findings using diagnostic criteria. The P (Plan) outlines next steps and treatment plan implementation.

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    SOAP Note Template (1)

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    This SOAP note template provides guidelines for documenting a client session. The S (Subjective) section includes the client's history and current status. The O (Objective) section lists quantitative observations. The A (Assessment) involves analyzing findings using diagnostic criteria. The P (Plan) outlines next steps and treatment plan implementation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views2 pages

    SOAP Note Template

    Uploaded by

    Jane Kuca
    This SOAP note template provides guidelines for documenting a client session. The S (Subjective) section includes the client's history and current status. The O (Objective) section lists quantitative observations. The A (Assessment) involves analyzing findings using diagnostic criteria. The P (Plan) outlines next steps and treatment plan implementation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    Note Template

    SOAP Note
    This template can be used as a guide as you complete your SOAP notes.

    Provider Name Client’s Name & DOB Date of Service

    Subjective: Client’s history and current status


    What to include:
    • Medical and mental history
    • Complaints and/or problems

    Your findings:

    Objective: Quantitative, factual, and measurable data

    What to include:
    • Physical observations
    • Psychological observations

    Your findings:

    www.simplepractice.com
    Note Template

    SOAP Note
    Assessment: Create your official assessment

    What to include:
    • DSM criteria/therapeutic Model
    • Clinical and professional knowledge

    Your findings:

    Plan: Outline your plan for future sessions

    What to include:
    • Next steps for upcoming sessions
    • How you’ll implement your treatment plan

    Your findings:

    www.simplepractice.com

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