SOAP Notes for Massage Therapy Template

Yes, it is a legal requirement that all patients can access their SOAP notes. For this reason, you must remain professional and objective in your documentation. Do not include any observation that isn't supported by evidence, and omit judgemental language, abbreviations, and jargon that aren't easily understood.

Yes, HIPAA regulations apply to SOAP notes. You must legally write progress notes and store them safely and securely. Because SOAP notes contain confidential data, you must have electronic and physical safeguards to protect your patients.

If you make a mistake on your SOAP note, draw a single line through the error, and then write the date and your initials. This ensures that the process of making the error and why it was changed remains clear to any third parties that may view the document.