SOAP Note Template
From SimplePractice | www.simplepractice.com
SOAP Note Template
This template can be used as a guide as you complete your SOAP notes. Each section has
“what to include,” which can be removed from this document if or when you need to share
this note with other providers, clients, or family members.
PROVIDER NAME CLIENT’S NAME & DOB DATE OF SERVICE
Subjective: Client’s history and current status
What to include:
● Medical and mental history
● Complaints and/or problems
Your findings:
Objective: Quantitative, factual, and measurable data
What to include:
● Physical observations
● Psychological observations
Your findings:
SOAP Note Template
From SimplePractice | www.simplepractice.com
Assessment: Create your official assessment
What to include:
● DSM criteria/therapeutic Model
● Clinical and professional knowledge
Your findings:
Plan: Outline your plan for future sessions
What to include:
● Next steps for upcoming sessions
● How you’ll implement your treatment plan
Your findings: