This resource provides information on SOAP Notes, which are a clinical documentation format used in a range of healthcare fields. The resource discusses the audience and purpose of SOAP notes, suggested content for each section, and examples of appropriate and inappropriate language.
Contributors:Lily Hsu, Fernando Sánchez
Last Edited: 2015-12-15 12:04:29
Baird, Brian N. (2014). The internship, practicum, and field placement handbook. 7th Ed. New York: Routledge.
Cameron, Susan & turtle-song, imani. (2002). Learning to write case notes using the SOAP format. Journal of Counseling & Development, 80, 286-292.
Heifferon, Barbara A. (2005). Writing in the health professions. New York: Pearson/Longman.
Kettenbach, Ginge. (2009). Writing patient and client reports: Ensuring accuracy in documentation. 4thEd. F.A. Davic Co.
Moline, Mary E., & Borcherding, Sherry. (2013). The OTA’s guide to documentation: Writing SOAP notes. 3rd Ed. Thornfield, NJ: Slack Inc.
Moline, Mary E., Williams, George T., & Austin, Kenneth M. (1998). Documenting psychotherapy: Essentials for mental health practitioners. Thousand Oaks, CA: Sage.
Sullivan, Debra D. (2011). Guide to clinical documentation. 2nd Ed. F.A. Davis Company.