DAP Note Generic OTP (Under Construction)

D: Pt. met with Counselor [checkbox name="reason" value="for an individual session|as they requested for an individual session"]. 

[select name="reason2" value="Counselor|Pt."]  [textarea name="variable_5" default="inquired about Pt.'s dose. Pt. reported experiencing no w/d symptoms and expressed overall stability on their current dose"]. 

[select name="reason3" value="Counselor|Pt."] discussed Pt.'s [text name="variable_6" default=""] [textarea name="reason4" default=""] 

[select name="reason5" value="Counselor| Pt."] discussed issues with current illicit substance use of [textarea name="reason6" default=""]

Counselor educated Pt. to [text name="variable_7" default=""] as a potential trigger for substance use. [textarea name="reaon7" default="sample text"]

A: Client appears to be in [select name="variable_8" value="pre-contemplative|contemplation|action|maintenance"] stage of change as evidenced by [textarea name="variable_9" default=""]. Pt.'s progress in achieving treatment goals is best assessed as "[checkbox name="progress" value="minimal|inconsistent|progressing|improving|stable"]" as evidenced by client's self-reports, drug screen results, behavior and engagement.

P: Pt. will continue to meet with Counselor for individual session. Pt. will [text name="v" default=""] prior to next session. [textarea name="reason8" default="sample text"]
D: Pt. met with Counselor .

.

discussed Pt.'s

discussed issues with current illicit substance use of

Counselor educated Pt. to as a potential trigger for substance use.

A: Client appears to be in stage of change as evidenced by . Pt.'s progress in achieving treatment goals is best assessed as " " as evidenced by client's self-reports, drug screen results, behavior and engagement.

P: Pt. will continue to meet with Counselor for individual session. Pt. will prior to next session.

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.4, 15 form elements, 78 boilerplate words, 3 text boxes, 6 text areas, 2 checkboxes, 4 drop downs, 20 total clicks
Questions/General site feedback · Help Ticket

Send Feedback for this SOAPnote

This site uses Akismet to reduce spam. Learn how your comment data is processed.

More SOAPnotes by this Author: