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To help you envision the ways you can integrate SOAP notes into your practice, here are three situations in which the SOAP approach can clarify and simplify your documentation.
The SOAP note is an essential method of documentation in the medical field.
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Documenting a normal exam of the head, eyes, ears, nose and throat should look something along the lines of the following: Head - The head is normocephalic and atraumatic without tenderness, visible or palpable masses, depressions, or scarring. It's imperative that every student learn the basics for writing a SOAP note to become a health care provider like a physician or an Advanced Practice Nurse. More and more dental and medical insurance payers are demanding excellent clinical documentation in the form of SOAP format to back up procedures performed on patients that are members of their plans.
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