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6+ Therapy SOAP Note Examples [ Physical, Occupational, Speech ]


Therapy. A lot of people are familiar with this term, but often than not refuse to accept it. They tend to lie about what their notes may say in order to confuse their physical therapists. But often than not, there are those who do know that notes like these are necessary and often do not lie. Who am I talking about? Healthcare professionals, physical therapists and anyone who may be working in the medical or healthcare industry know that when it comes to note taking, it is something to be serious about. Taking down notes is part of the occupation. May it be you are a speech therapist or a physical therapist, you would know that your therapy SOAP note is a necessity and not just part of the job. To know how to write a good therapy SOAP note, let’s take a look at the examples.

6+ Therapy SOAP Note Examples

1. Therapy SOAP Notes Template

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2. Sample Therapy SOAP Note

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3. Therapy SOAP Note in PDF

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Size: 197 KB

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4. Physical Therapy SOAP Note

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Size: 485 KB

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5. Psycho Therapy SOAP Note

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6. Speech Therapy SOAP Note

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7. Therapy SOAP Note Example

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What Is a Therapy SOAP Note?

A therapy SOAP note is a document that medical practitioners, physical and speech therapists use in order to get a good assessment, a good understanding of the needs of the patient. It can also be considered a treatment plan since it helps them get to know what the patient needs and what the patient may get in order to get better.  The therapy SOAP note consists of the same format as that of an ordinary SOAP note, except the information caters mostly for therapy. In addition to that, a therapy SOAP note helps physical or speech therapists to find a better or best option or a solution to help their patients going through therapy. 

How to Write a Therapy SOAP Note?

Therapy notes are important. They give you details you need in order to find the best solution and plan. They give you the opportunity to assess and to fully plan out a good therapy for your patient. But you must also understand what to write in it. With that, take a look at these steps to help you write your therapy SOAP note.

1. Information about Your Patient Should Count

You’re finally at this point where you are going to be writing your therapy soap note. What you would need is information. Details about your patient should be the first thing you should get or ask. In order for you to make a good therapy soap note. Information about your patient counts, because without it, your therapy soap note will flop.

2. Avoid Writing Personal Opinions

If you think that being a therapist means you are able to write personal opinions about your patients in your SOAP notes, then you should start writing your notes again. Your personal opinions about your patients should be kept to yourself. What should be in your SOAP notes should be a professional opinion. Avoid writing anything personal about your patient. View them in a professional setting.

3. Use Jargon That Is Easy to Understand

Many therapists would think that if they use jargon that only they could understand, the patient may as well understand them. No. Avoid using jargon that may be misinterpreted by the patient. When discussing your soap notes to other colleagues, as much as possible, use the general jargon that everyone can understand. To avoid any confusion and misunderstandings.

4. Avoid Planning without a Complete Assessment

Another thing to take note of is to avoid planning the solution before you have made the proper and complete assessment. Part of your soap note is to assess the situation and the patient. In order for you to plan out the best solution to help your patient. If you are a speech therapist, your assessment would also cater to a speech assessment. Regardless of what therapist you may be, do the assessment first before you plan.

FAQs

What is a therapy soap note?

A therapy soap note is a document that summarizes the entire general to specific detail of a patient. It has the information needed in order for the therapist to give out the right solution and to plan out the best kind of solution to solve the problem.

Why do therapists need soap notes?

They need soap notes as this helps them give out a professional say about a patient. It gives them the opportunity to assess, analyze and evaluate a patient and their specific needs. In order for them to figure out how to address the problems.

Why should you avoid writing a personal opinion?

Personal opinions cloud out your professional opinions. Never assume that you would know a patient personally by simply viewing them or talking to them. You are their therapist, they are your patient. What and how you would address their problem and find a solution should be done in a professional manner.

Therapy. A person working as a therapist knows that their notes are important to them. That their notes hold the key to understanding how their patients work, how their patients are feeling and to find a solution that would benefit their patients. With that being said, always be careful with what you may write in your notes. Never assume that your patients can benefit from a personal view, always assess and evaluate before giving the right solution.

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