SOAP Note
National Lymphatic Centers · clinical record · filed to the patient profile on submit
Patient Name
*
search the patient record — do not type a name freehand
change
Date of Therapy
*
Provider Name
*
Select provider…
Service Received
*
Subjective
Symptoms: Onset / Location / Intensity / Frequency
*
Objective
Findings: Visual / Palpable / Test Results
*
Assessment
Goals: Long term / Short term
*
Plan
Future Treatment / Frequency / Homework / Self-care
*
I confirm I am the treating provider named above and that this record is accurate and complete to the best of my knowledge.
Provider Signature
*
sign in the box — mouse, trackpad or finger
Clear
Date Signed
*
File to patient profile