Therapy notes for telehealth require a little more information than standard in-office session notes. Learn about the additional info to include and more....

Are you using BIRP notes? Discover how to efficiently monitor client progress and help clinicians stay on track in achieving client goals....

Having a clear understanding of what a SOAP note is, and how to write one both thoroughly and efficiently can be a huge help to SLP’s. A note is completed after every speech therapy session. It may be shared with the client and/or his or her caregiver, as well as insurance companies....

Physical therapy SOAP notes are a thorough, organized way of documenting patient progress. Get clear on each section of the SOAP note....

Occupational therapy SOAP notes, an overview of SOAP notes; questions to ask when writing each section; the do’s and don’ts of writing soap notes; the benefits of using SOAP notes in occupational therapy; and an example of an occupational therapy SOAP note will be covered in this post. The SOAP note method of documentation can be an excellent fit for the occupational therapy profession. Why does it work well for OTs? We are always looking at the big picture. SOAP is an acronym that stands for subjective; objective; assessment; plan. These are all important components of occupational therapy intervention and should be appropriately documented. Using a SOAP note format will help ensure that no essential element of therapy is left undocumented. ...

Counseling goals through treatment plans are exercises most therapists conduct with their clients. The GROW model can make goals more effective. Find out how....

Counseling treatment plans including rationale, tips and how to document treatment plans for insurance audits....

DAP Notes aka Data, Assessment and Plan Notes follow a very specific format to help clinicians to organize their notes. Get DAP note examples and tips!...

Psychotherapy notes hold legal protections behind what was written. Learn the definition, the difference between SOAP notes, their purpose and legal protection....

SOAP notes for counseling help providers write notes clearly, consistently and thoroughly. Get tips for writing solid and timely counseling progress notes....

Concurrent documentation is a method of writing notes, such as SOAP notes, during sessions with active input from the client....

Aside from scheduling an appointment and checking insurance benefits, what is the number one thing you need to do before you sit with your new client? Paperwork. ...