Title Page
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Patient name
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Conducted on
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Prepared by
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Location
SOAP Note
S - Subjective
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Ask your patient for their chief complaints and describe them here. Follow the OLD CHARTS or OLD CARTS acronym for a more in-depth subjective talk with your patient.
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Enter patient's chief complaint here
O - Objective
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Enter patient's vital signs here
A - Assessment
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Enter your preliminary assessment here
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The next section can be repeated as many times as necessary depending on the status and needs of the patient
P - Plan
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Enter your plan here
Additional Progress Notes
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Enter any additional progress notes here
Sign off
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Prepared by
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Date
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Possible follow-up consultation date