How to write a Pediatric Soap Note? Download this Pediatric Soap Note template that will perfectly suit your needs.
When Pediatric, Medical or Health therapists, or other healthcare professionals, write down personal notes or suggestions, they often use the SOAP notes template to document clients' health records. Pediatric Soap Notes is an acronym for SOAP(Subjective Objective Assessment Plan), which are basically notes are used at intake and ongoing to document a client's condition and progress. SOAP notes have become the standardized form of note-taking and are critically important for a variety of reasons.
Pediatric Soap Note sample content:
Pediatric SOAP Note
Race: African American
Sex: Male Age: 1-year-old (20 months) (full-term)
irth weight: 5lbs5oz
Insurance: Medicaid Chief Complaint
NB is a 20-month-old male with a new onset of low-grade temperature (99.1), cough, runny nose, and sneezing..
Past Medical History Partial agenesis of cerebellar vermis with partial Danny Walker malformation and periventricular leukomalacia (PVL) at birth Down’s Syndrome at birth , Asthma at 13 months-at least 4 exacerbation in the last 6 months , Strabismus at 3 months , myopia at 3 months , Amblyopia (rt eye at 3 months ,), Developmental Delay (presents as a 7 mth old), hypotonia, PN at 12 months , Croup at 6 months , OM (x3 within the past 12 months), and Allergic Rhinitis within the past 12 months .
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