SOAP Notes For Physical Therapy Template

What is a physical therapy SOAP notes template?

Physical therapy SOAP notes are a specific format of progress notes that physical therapists can use to organize their documentation in a consistent and coherent way. Using a PT SOAP note template has many advantages for physical therapists. It helps save time, elevate productivity, and improve clinical outcomes by providing a detailed view of the patient's progress and treatment. You can also find a physical therapy SOAP note PDF to download and use for easy documentation. Sample PT SOAP notes are separated into the four following sections:

• Subjective: The subjective section includes how the patient reports their chief concern (CC). It is ideal to include quotes from the patient, their symptoms, and the patient's functional status.
• Objective: The objective section includes your professional observations about the patient's behavior and affect. You can also include any assessments or tests you completed during the session. For example, this can include vital signs, manual muscle testing, or assessing joint or knee pain.
• Assessment: The assessment is basically a synthesis of the first two sections. You want to state your analysis or interpretation of the subjective and objective sections, indicate how the patient is progressing, and whether the treatment plan appears to be working.
• ‍Plan: The final section of the SOAP note refers to the patient's future treatment plan. This may include upcoming sessions, referrals, treatment plan changes, and goals the patient aims to achieve. For instance, this can include a recommended home exercise program or changes to patient care.

Another resource useful in physical therapy documentation is the Physical Therapy Documentation Sheet, a more guided clinical note specifying each documentation section with respective key components.

How to use our SOAP Notes For Physical Therapy Template?

Creating a SOAP note physical therapy PDF template for physical therapists aims to simplify the documentation process and help your physical therapy practice save valuable time. For this reason, utilizing our PT SOAP note example template is very simple.

Step 1: Access the PDF SOAP note template

You first need to download the physical therapy SOAP notes PDF template to edit it. We have included a link to the template on this page; you can click "Download" or access it from within the Carepatron platform.

Step 2: Fill in the relevant sections

Following a session with a client, it's time to fill in the four sections of the SOAP note. The template has been organized and structured for you, so you don't have to waste any time formatting from the subjective and objective data to the planning. Simply click into each section and write in the relevant information.

Step 3: Don't forget your credentials

Every SOAP note must have your professional credentials. SOAP notes are legal documents that can be shared with various third parties, so you must include these details.

Step 4: Store your notes securely

After writing your SOAP note and working on the patient's treatment plan, you must store it securely. SOAP notes contain confidential information, and to protect the privacy of your patients, you need to ensure they are always secure. One of the best ways to do this is to invest in HIPAA-compliant practice management software like Carepatron, which stores information safely with various electronic and physical safeguards.

Who can use this physical therapy template?

One of the best aspects of our physical therapy SOAP note PDF is its applicability to all kinds of physical therapists. Whether you work as a solo practitioner or are part of a larger business, our PT SOAP note example will be perfectly suitable. We're also aware of the different kinds of treatment and specializations of physical therapists, such as those outlined by the American Physical Therapy Association:

• Occupational physical therapy
• Rehabilitative physical therapy
• Pediatric physical therapy
• Geriatric physical therapy
• Orthopedic physical therapy
• Neurological physical therapy

Regardless of which type of physical therapy you primarily work in, you can use our SOAP note template. While the specific disorders and treatment methods you use may differ depending on your patients' ages, the general structure of the SOAP note will always remain the same from the subjective and objective information, the assessment section, and the therapeutic exercise or manual therapy techniques you recommend. This makes it particularly useful for therapists with different specializations, as everyone can utilize the same SOAP note format or customize it according to the patient's needs.

Why is this template useful for physical therapists?

When it comes to the day-to-day work of a physical therapist, using a template is useful as you write SOAP notes for the following reasons:

• Organization: Having access to an intuitive, simplified SOAP note template will help organize physical therapy documentation. This resource ensures that documentation is structured consistently with subjective and objective findings and possible patient status complications, helping physical therapists improve the organization of their work. 
• Accuracy: Because SOAP notes are structured into four clear and coherent sections, you can ensure you don't miss any important details. Writing effective and accurate progress notes is vital to working as a physical therapist. You can take note of the process from patient education to the actual physical therapy progress.‍
• Saves time: Therapists lead busy lives and often spend much time on administrative tasks like writing progress notes. With a pre-designed SOAP note template, you'll be able to reduce the amount of time you spend writing notes, which can instead be spent completing more pressing tasks. You can also refer to a sample PT soap note to guide you in this process.

Benefits of using the physical therapy SOAP note template 

In addition to having a variety of uses for physical therapists, utilizing a therapy SOAP note example template also abounds with advantages. Some of these include:

Improving productivity

A smooth and productive workflow at your physical therapy practice will help ensure your clinical and administrative processes occur seamlessly. Utilizing a PT SOAP note template is a fantastic way to save time and elevate productivity. 

Tracking patient progress

One of the most important aims of progress notes is their role in tracking patient progress. A SOAP note template will guarantee consistency across your documentation, allowing you to better examine how a patient has progressed. 

Communication

It's important to remember that SOAP notes are often shared between a patient's care team members. Using a structured progress note format like SOAP will improve this communication and ensure that the relevant providers have the necessary information to make informed clinical decisions.