Caught up before the next patient
Type the gait distance, assist level and exercises between patients. The SOAP note is ready in seconds, so you start the next session with nothing hanging over you.
Turn a short PT visit summary into a complete SOAP note in under 7 seconds. Include gait, exercises, assistance and patient response, then review and add the note to your EHR.
Unlimited PT SOAP note drafts. $15/month. See plan details and voice limits.
Type the gait distance, assist level and exercises between patients. The SOAP note is ready in seconds, so you start the next session with nothing hanging over you.
Write each daily note while the session is fresh, so nothing from this week follows you into Saturday.
Reps, distances, assist levels and vitals you enter stay in the note, written up in clear, skilled PT wording.
"It was amazing, really helped me organize my thoughts to create a good SOAP note because by the end of the day my brain is absolutely fried. I really like the flow of the website now, everything is very user friendly and fast!"
Rose H.
On the free trial or any plan, talk instead of typing a short visit summary between patients. Use the website on a supported device with microphone permission, or the extension in a compatible browser. Keep it non-identifying unless your organization has approved PHI use. For example, mention gait distance, assistive devices, balance work, assistance and patient response. Review and edit the transcript in Visit Summary before generating your SOAP note. You speak only the visit details you want in your note, not the entire treatment session. Use identifiable patient information only when your organization has an approved BAA and PHI-enabled workflow.
PT session summary: Pt. MR completed gait training with front-wheeled walker for 120 ft, stair practice on four steps, and seated LE strengthening. Required contact guard assist for turns and cues for step length. Reported mild fatigue without pain increase. Plan to progress balance and endurance.
Subjective:
Patient reported mild fatigue following activity without an increase in pain.
Objective:
Patient completed gait training with a front-wheeled walker for 120 ft, stair practice on four steps, and seated LE strengthening. Contact guard assist was required for turns, and verbal cues were provided to improve step length. Activity tolerance was limited by mild fatigue, though no pain increase was noted during the session.
Assessment:
Today's performance reflects mildly reduced endurance with the need for external support during turns to maintain gait quality and safety. Skilled PT services were required to provide contact guard assist, verbal cueing for step length, and monitoring of fatigue response so gait mechanics and stair performance could be completed safely and with appropriate technique. Continued skilled PT remains indicated to progress functional mobility, balance, and activity tolerance for safer household ambulation and stair negotiation.
Plan:
Continue gait training, stair practice, and seated LE strengthening with emphasis on improving balance and endurance. Next session will progress challenge as tolerated while aiming to reduce cueing needs during turns and improve overall activity tolerance.
NoteyDoc Unlimited costs $15/month and includes unlimited PT SOAP note drafts from typed visit summaries. Review each draft and add the approved note to your EHR. Voice notes and other features have separate usage limits.
Yes. You can summarize gait, transfers, balance, strengthening, patient response, safety education, and the next plan, then review the generated SOAP draft.
Yes. Add only the relevant measures you want reflected, such as distance, assistance level, device use, balance activity, repetitions, or range of motion values.
No. It writes documentation from your visit summary. The therapist reviews the assessment and plan before the note is used.
Use non-identifying details unless your organization has approved a PHI-enabled workflow. By default, NoteyDoc screens for PHI. Identifiable patient information requires organizational approval, an active BAA, and PHI enablement.
NoteyDoc Unlimited allows unlimited PT SOAP drafts from short typed summaries, with separate voice and profile limits. See the affordable unlimited SOAP note guide and the practical questions therapists ask.
Find setting-specific SOAP drafting examples and documentation considerations for your clinical environment.
For PTAs, visit our physical therapist assistant SOAP note generator guide. See a gait and exercise documentation example and how the $15/month Unlimited plan works.
See fictional examples for treatment detail, clinical assessment and next-session plans.