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Soap Note Form

This document contains a template for recording SOAP notes for physical therapy clients. The SOAP note includes sections for subjective findings reported by the client, objective findings observed by the therapist, an assessment of the client's issue, and a treatment plan. The template collects relevant client information like symptoms, affected body parts, factors that improve or worsen pain, range of motion assessments, and goals for home exercises and care.

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Andriusjo
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683 views

Soap Note Form

This document contains a template for recording SOAP notes for physical therapy clients. The SOAP note includes sections for subjective findings reported by the client, objective findings observed by the therapist, an assessment of the client's issue, and a treatment plan. The template collects relevant client information like symptoms, affected body parts, factors that improve or worsen pain, range of motion assessments, and goals for home exercises and care.

Uploaded by

Andriusjo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SOAP Notes

Circle:
HipslLow Back Lower Leg Knee Shoulder Cervical Elbow, Wrist, Forearm or Hand
Client # Date Therapist _
----------------
(For confidentiality do not use client's name)

Subjective Findings (what the client tells you)


Onset, Location, Symptoms; when, where and how pain/injury began • Specific activities that make the pain better or worse?

Objective Findings (what the therapist finds)


Visual/palpable observations, (postural distortions?) • Assess active, passive and resisted range of motion

Assessment (an interpretation ofthe therapist's findings)


Note the changes due to massage, including range of motion

Plan (treatment plan for the client)


This includes goals and client home care stretching and/or strengthening exercises

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