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Additional Resources

Summary:

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.

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