TEMPLATE SOAP NOTE

Soap Note 2 Adult Wellness Check Up /Annual physical

Note: Wellness check up or Annual physical exam can only have two possible diagnoses. ICD 10: Z00.00 or Z00.01. Any other abnormal finding should be placed in the differential diagnosis and clearly supported in your progress note under assessment.

Please keep this in mind. No other possible diagnosis for this encounter is accepted for any insurance. You must include all the USPSTF recommendation according to your patient age and sex under Planning.

This soap needs to be done for a patient between the ages of 23 to 69. Please see the video (https://youtu.be/NYqB-2frWfc) provided in the previous assignment BEFORE starting your SOAP note.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25%. Copy-paste from websites or textbooks will not be accepted or tolerated.

Please see College Handbook with reference to Academic Misconduct Statement.

The use of Templates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made-up patient.

NOTES:

1. We need to choose a patient AGE clinic history for Adult Wellness Check Up /Annual physical them: You must include all the USPSTF recommendation according to your patient age and sex under Planning.

2. Use a template attached, own words No plagiarism, references APA 7th edition