write a SOAP note about one of your patients
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 SOAP NOTE TEMPLATE Review the Rubric for more Guidance  | 
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 Demographics  | 
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 Chief Complaint (Reason for seeking health care)  | 
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 History of Present Illness (HPI)  | 
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 Allergies  | 
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 Review of Systems (ROS)  | 
 General: HEENT: Neck: Lungs: Cardio Breast: GI: M/F genital: GU: Neuro Musculo: Activity: Psychosocial: Derm: Nutrition: Sleep/Rest: LMP: STI Hx:  | 
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 Vital Signs  | 
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 Labs  | 
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 Medications  | 
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 Past Medical History  | 
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 Past Surgical History  | 
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 Family History  | 
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 Social History  | 
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 Health Maintenance/ Screenings  | 
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 Physical Examination  | 
 General: HEENT: Neck: Lungs: Cardio Breast: GI: M/F genital: GU: Neuro Musculo: Activity: Psychosocial: Derm:  | 
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 Diagnosis  | 
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 Differential Diagnosis  | 
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 ICD 10 Coding  | 
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 Pharmacologic treatment plan  | 
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 Diagnostic/Lab Testing  | 
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 Education  | 
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 Anticipatory Guidance  | 
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 Follow up plan  | 
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 Prescription  | 
 See Below (scroll down)  | 
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 References  | 
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 Grammar  | 
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 EA#: 101010101 STU Clinic LIC# 10000000  | 
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 Tel: (000) 555-1234 FAX: (000) 555-12222  | 
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 Patient Name: (Initials)______________________________ Age ___________ Date: _______________ RX ______________________________________ SIG: Dispense: ___________ Refill: _________________ No Substitution Signature:____________________________________________________________  | 
Signature (with appropriate credentials):_____________________________________
References (must use current evidence-based guidelines used to guide the care [Mandatory])