TimelyScholarFree Tools › SOAP Note Template Generator
Structure a clinical note under the four SOAP headings, with prompts for each part, including OLDCARTS for the history of present illness. Switch to APSO order and download a Word copy.
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Do not enter names, dates of birth, record numbers or anything else that could identify a patient. Use this template for practice, teaching or to structure a note you will write in the official record.
Your note is saved in this browser only; use Clear when you have finished.
Subjective, objective, assessment and plan, with prompts.
SOAP, or APSO with assessment and plan first.
As text or a Word file; nothing leaves your browser.
The SOAP note, developed by Larry Weed, organises clinical documentation under four headings: subjective (what the patient reports), objective (signs, measurements and results), assessment (the problem list and differential diagnosis) and plan (tests, therapy, referrals and education).
A common error is mixing symptoms and signs: symptoms the patient describes belong under subjective, examination findings under objective. Some clinicians place the assessment and plan first (APSO) so the most relevant information is quickest to find.
A mnemonic for the history of present illness: onset, location, duration, characterisation, alleviating and aggravating factors, radiation, temporal factor and severity.
Use it to structure your thinking; document real encounters in the official health record, following your organisation's policies.