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You will write aSOAP note at the end ofevery session. The idea of a SOAP note
is to be brief, informative, focus
on what others need to know (e.g., doctors, nurses, teachers, OT, PT, social worker, anotherSLP, etc.), and
formation an insurance company would need to see to justify your continued involvement with
SOAP notes areturned in withyour treatment plans every week. Checkwith your supervisor for deadlines.
Describe your impressions of the client in t
he subjective section. Include your
impressions about the client’s/patient’s level of awareness, motivation, mood,
willingness to participate. You may also list here anything the patient and/or family may
say to you during a session.
For example: The clie
nt appeared very alert and cooperative. Hestated,
“I’m ready to work
Writemeasurableinformation in the
Include anytestscores,percentagesforanygoals/objectivesworked on,andany
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