A SOAP note (which stands for Subjective, Objective, Assessment, and Plan) is a document that's used by healthcare providers to create a patient's chart. It's especially useful for assessing, diagnosing, and treating patients.
SOAP Notes make it easy to capture visit details for each client, retrieve history, and view progress. Additionally, you can duplicate, add to, or edit client SOAP Notes in an easy fashion. This is especially helpful for clients suffering from chronic conditions.
There are two types of SOAP notes you can add:
- SOAP notes and SOAP Notes Advanced, which contain more in-depth questions and an anatomy chart to pinpoint areas of treatment.
In this article, we will go over:
How to add a SOAP Note
1. Tap Customers at the bottom of the screen.
2. Select the customer.
3. Select the SOAP tab.
4. Tap the Fill New Soap button at the top of the screen. Then select the specific note you want to add at the bottom of the screen. You can add a regular SOAP note or an advanced SOAP note.
5. If you selected an advanced SOAP note, you can use an anatomy chart to pinpoint areas of treatment.
6. Fill out the document. Then tap Submit.
How to See Completed SOAP Notes
1. Go to the SOAP notes screen in the client's profile. Select the SOAP Notes or SOAP Notes Advanced option to view a note that was submitted by a client on a specific date.
2. Select a date to see a note that was submitted by a customer on a specific day.
3. If you tap the three dots at the top-right of the screen, you'll be able to view more details about the note. You also can print a copy or delete the document.
4. If you select the Details option, you'll be able to see when the client submitted the form. You also can see the Device and IP Address that was used as well as their Location. Tap Close when you're finished.
5. Tap Edit at the bottom of the screen to edit a SOAP Note.
6. Tap Submit when you're finished.
How to Control Employee Access to SOAP Notes
You can control an employee's ability to view, add, edit, and delete forms in your account. Click here to learn more.
Tap Save when you're finished.