Progress Notes

[jorge_felix_rodriguez]

Hey everyone!  I need to find Progress Notes that I can fill out for my clients.  I work with a PT and his notes are totally differant.  What I'm looking for is something pretty basic -- I want to create my own, but am not sure what questions/evaluations to include.  Just looking for some guidance!  I've done a million searches on the web and have looked through all my books and haven't had any luck!Any help would be greatly appreciated!Thanks TONS!

 

[tera_duke]

Progress Notes

my notes have the following questions on them...Physical Complaints (S)Observations (O)Techniques/Modalities used (A)Additional Comments/Plan (P)those are to the left with areas to write...on the right side is a pic of a body- front, side, back view where you could mark trigger points, adhesions, inflamation, hypertonicity

 

[Jessykabeth]

Progress Notes

If you are looking for blank soap/progress notes, take a look here:

http://www.massageplanet.com/forum/viewtopic.php?p=26683&highlight=soap#26683

If you are looking for a book explaining what to say in your notes, I would recommend Diana Thompson's Hands Heal: Communication, Documentation, and Insurance Billing for Manual Therapists.

I hope this helps.

Take care,
--Miguel de Campos

http://www.wincityinc.com

 

[the world of danger]

Hey guys thanks for the info -- I have SOAP notes that I fill out after every session.But what I"m looking for is a re-evaluation form.  For example ... my client has a Rx for 6 sessions -- after the 6th session, I need to send progress notes to the office re: pain level, frequency of pain, etc.  I use the SOAP notes for my findings, but I need something that I go through with the client and they describe to me the progress they've made (functionally, physically, etc.)  Any ideas?  I made my own up and used it, but am looking for some more ideas!  Thanks so much everyon ;De!