SOAP Notes for Psychotherapy Template

Yes, you can include names if needed, although this is not entirely essential. You should, however, absolutely include the name of the client you’re seeing.

SOAP notes can differ in length, however, a general rule is to keep them to 1-2 pages. Going beyond this isn’t necessary, and remember that you want to keep them concise.

Yes, you can include images if they are relevant to your client's condition. Images may include x-ray results or any other supporting evidence that adds value to your assessment. Being concise is absolutely key, so be sure to only add what is necessary, as an overload of images can be confusing to analyze for other healthcare professionals.