This guide covers both. It's the structure I use to get a defensible note written before I leave the driveway: work off an occupation checklist, combine subjective, objective, and assessment instead of writing them three times, and keep the plan separate so it's easy to update.
Here's what you get:
The occupation checklist that does most of the work for you
How to combine S + O + A without losing anything a reviewer needs
Why the plan stays separate, and what belongs in it
Two versions: one for EMRs that support templates, one for the ones that fight you
FREE
The Time Saver SOAP Note Guide
If you are finding that you are spending more than 10 minutes on each note, this may be for you. After becoming a private practice owner and a vendor for my local regional center I knew I needed to make the most of my time, and doing notes is not what I wanted to spend most of my days doing.
