SOAP Notes For Psychiatry Template

This is a tough question as every psychiatrist will have different preferences for how they fill in their SOAP Notes template. It can be easier to agree on what does not make for good psychiatric SOAP notes:

• Notes that use large amounts of technical jargon or infrequently used acronyms can be hard for others to understand.
• Making notes too long or including irrelevant information can make it hard to find the important points when referring back to the notes.
• And finally, keep it accurate but avoid adding overly judgmental comments.

This depends on what kind of information you are needing to record. Our psychiatry SOAP note template has four key sections already laid out which separate out information based on the internationally recognized SOAP note-taking format.

For example, planned changes to a psychiatric patient’s medication following an encounter with their psychiatrist would get put under the Plan heading, however, the patient’s feelings in response to a new medication would belong under the Subjective heading.

Psychiatrists have the legal responsibility to securely store their patient records, including clinical notes such as psychiatric SOAP Notes. Electronic health records (EHR) are the best way to ensure your notes are accessible, safe, and secure. Storing this template within Carepatron ensures your patient’s psychiatric SOAP Notes can be shared, updated, and accessed in a timely manner.