Soapnote.org

General Adult Physical Exams

WebNEUROLOGICAL: CN II-XII intact. Strength and sensation symmetric and intact throughout. Reflexes 2+ throughout. Cerebellar testing normal. SKIN: Skin normal …

Actived: 4 days ago

URL: https://www.soapnote.org/objective/general-adult-physical-exams/

ROUTINE WELLNESS/FOLLOW-UP Visit

WebDenies c/o CP SOB Palpitations HA changes in vision dizziness GI changes easy/abnormal bruising skin changes extremity or joint swelling sleep difficulties fatigue. …

Category: Health Go Health

2-month visit H&P

WebCC: 2-month-visit Subjective * HPI: Patient X.X. is a 2-month-old infant male/female who is here for his/her 2-month checkup. Patient is present here today with …

Category: Health Go Health

Adolescent Routine Annual Full SOAP

WebSubjective. * HPI: Patient XX is a -age- -ethnicity- male/female who is here for a routine annual check-up. Patient is present here today with his/her mom / dad/ …

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SOAP outline (Adults)

WebCC: XX Subjective * HPI: Patient X.X. is a XX-year-old male/female who is here for XX. She/He is an established patient with the clinic/New patient at the clinic. …

Category: Health Go Health

Depression Assessment/Plan

WebView. Assessment: Depressed mood Discussed options including psychiatry/psychology available as well as school, family and/or other supports for …

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Adult Attention Deficit Hyperactivity Disorder (ADHD) Self

WebFavorite 41. approximately 364 views in the last month. View. Adult ADHD Self-Report Scale. Please answer the questions below. As you answer each question, …

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Progress Note (v4)

WebProgress Note (v4) approximately 49 views in the last month. Therapist met with client for an individual therapy session. Therapist welcomed client into a warm, …

Category: Health Go Health

Mental Status Examination

WebSuicide/Assault: . Patient is currently assessed to be at risk for self harm or harm to others as evidenced by ideation and behavior on today's exam. Calculate The …

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PRIMARY CARE ESTABLISHED PATIENT HISTORY AND PHYSICAL

WebPRIMARY CARE ESTABLISHED PATIENT HISTORY AND PHYSICAL CHIEF COMPLAINT: HPI: PMH problem list: ROS: -General: Denies wt. changes, …

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GENERALIZED ANXIETY DISORDER

Web4. Irritability. 5. Muscle tension. 6. Sleep disturbance (difficulty falling or staying asleep, or restless, unsatisfyingsleep). D. The anxiety, worry, or physical …

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