SOAP Notes For Physical Therapy Template

To write effective physical therapy notes, organize your documentation in a structured format that captures all relevant information. Use clear, concise language, avoiding jargon to facilitate understanding among healthcare providers. Finally, ensure accuracy and timeliness in your notes, adhering to professional standards and maintaining patient confidentiality.

While this depends on the type of physical therapy session that you have had with your patient, a good rule of thumb is around 1-2 pages. SOAP notes should be clear and concise, and you should try not to repeat yourself or use overly wordy sentences.

Because SOAP notes are legal documents, you must ensure that everything you include is appropriate and professional. Any observations you make about a patient's behavior or affect need to be supported by evidence. You should also avoid any kind of judgemental or offensive language and keep abbreviations to a minimum.