Soap Chart

Mental health and medical history should be included in the Subjective section. This is where you document the patient's words about their past conditions and concerns.

Medications and allergies can be documented in either the Subjective or Objective sections. Be sure to include essential details for each medication, such as its name, dosage, route, and frequency.

SOAP stands for Subjective, Objective, Assessment, and Plan. It’s a format healthcare professionals use to document patient information, ensuring clear and organized notes.