SOAP Note Example

SOAP Note Example for Mental Health Care Professionals

UPDATED WITH 2013 CPT CODES

SOAP notes, are a specific format used for writing a progress note. This packet of 8 professionally created SOAP notes and Progress Notes can be downloaded and customized with your letterhead immediately. These notes were created for mental health care professionals: counselors, social workers, psychologists etc. They were created in Microsoft Word and are Windows and Macintosh compatible.These notes are streamlined to make the job of documenting your therapy sessions quick and easy and therapeutically sound.

Click the Buy Now button below to purchase this packet of SOAP Notes for only $15.97

Add to CartDon’t have Microsoft Word – Not technically Savvy?
No problem, if you are looking for basic forms and do not need to add your letterhead or can use a STAMP to add your name and credentials then this kit will also work perfectly for you. Just print and use as is.

Here a SOAP note example refers to documenting the following data after your session:

  • Subjective – referring to what your client tells you
  • Objective – What you the clinician observed especially regarding the subjective
  • Assessment – Your clinical assessment, bridging the objective and subjective
  • Plan – Your clinical plan, recommendations, interventions etc.

The SOAP notes and progress notes included in this professional package are formatted for both printing out and writing notes by hand or typing on your computer (aka automated notes).  The package includes separate note templates for:

  •  Conjoint sessions
  •  SOAP note format
  • Progress note alternative format

Each clinical note has a separate section to document or check off:

  • Client name, date and time of appointment
  • CPT code for the service rendered
  • Mental status etc.
  • Danger to self
  • Interventions
  • Response to intervention
  • Client concerns
  • Fees collected
  • Next appointment
  • and more…

This package of 8 Professional SOAP notes and Progress notes can be downloaded now for $15.97  and come with a risk free, 30 day guaranteeClick Here to see a sample of the form.

Click the Buy Now button below to purchase this packet of SOAP Notes:

Add to CartAll forms are created in Microsoft Word and are for immediate download.

Here is a SOAP note example:

  • S. CL stated, “I’ve been feeling more anxious this week.”
  • O. Counselor observed the client was wringing hands, having difficulty concentrating, and spoke rapidly. CL described fear of losing her job and housing. CL also reports drinking 3-5 cups of caffeinated coffee daily this week.
  •  A. Based on CL report and this counselors observations CL’s anxiety has increased in level of severity but continues to meet criteria for GAD.
  • P. Made referral to primary care physician for physical exam to rule out thyroid or other medical condition. Continue to address therapy goals of reducing anxiety through CBT. Add goal for nutritional therapy. Client reported she will practice relaxation exercises daily, cut back on coffee and replace with water.

Download the 8 template SOAP Note and Progress Note Kit now and receive the following templates:

  • SOAP note for printing out and handwriting note
  • Automated SOAP note for typing on computer
  • Conjoint SOAP note for printing out and handwriting note
  • Automated Conjoint SOAP note for typing on computer
  • Progress note for printing out and handwriting note
  • Automated Progress note for typing on computer
  • Conjoint Progress note for printing out and handwriting note
  • Automated Conjoint Progress note for typing on computer

 

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