GYN SOAP Note
Complete a FOCUSED SOAP NOTE with your primary diagnosis. Include the additional questions (additional questions ONLY related to the HPI/CC) you would ask the patient and explain your reasons for asking the additional questions. Then, explain the types of symptoms you would ask. Be specific and provide examples. (Note: When asking questions, consider sociocultural factors […]
Focused Soap Note
Complete an episodic SOAP note with your differential diagnosis. Include the additional questions (additional questions ONLY related to the HPI/CC) you would ask the patient. Be sure to include an explanation of the tests you might recommend, ruling out any other issues or concerns, and include your rationale. Be specific and provide examples
SOAP NOTE
see attached Consent for treatment Name: DOB: Minor: Accompanied by: Demographic: Gender Identifier Note: Chief Complaint Reason for the visit, often in the patient’s words History of Present Illness Subjective information from the patient. Description of what the patient wants to be seen for Mood characteristics Depression/Anxiety/Panic/Mood instability, etc Tolerable/Not tolerable Getting worse or better, […]
