Soap Note

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Intro to MFT

SOAP Note Class Assignment

1 | Session Notes Example 04.25.2025

Initial Session Date: Client Name:

Case Number:

Session Participants (list everyone in the room other than the therapist):

Start Time: ______________________

End Time: _______________________

Duration: _______________________

Program Name:

Chief Complaint and Timeframe of Onset: ___________________________________________________________________________________

___________________________________________________________________________________

Subjective Report: ___________________________________________________________________________________

___________________________________________________________________________________

Objective Findings: ___________________________________________________________________________________

___________________________________________________________________________________

__________________________________________________________________________________

Intro to MFT

SOAP Note Class Assignment

2 | Session Notes Example 04.25.2025

Assessment Progress: ___________________________________________________________________________________

___________________________________________________________________________________

Co-Constructed Goal:

Long Term Goal 1: ___________________________________________________________________

___________________________________________________________________________________

Short Term Goal 1:

____________________________________________________________________________

Short Term Goal 2:

____________________________________________________________________________

Interventions:

____________________________________________________________________________

Plan Details:

___________________________________________________________________________________

Intro to MFT

SOAP Note Class Assignment

3 | Session Notes Example 04.25.2025

___________________________________________________________________________________

Suggested Frequency of Sessions: ______________________________________________________

Suggested Duration of Sessions: _______________________________________________________

CPT Code (s):

Date of next session: _______________ ________________________________ ____________________________________ Student Therapist Name Student Therapist Signature

CPT Codes and Description

90832 PSYTX W PT 30 MINUTES

90834 PSYTX W PT 45 MINUTES

90837 PSYTX W PT 60 MINUTES

90839 PSYTX CRISIS INITIAL 60 MIN

90840 PSYTX CRISIS EA ADDL 30 MIN 90846 FAMILY PSYTX W/O PT 50 MIN

90847 FAMILY PSYTX W/ PT 50 MIN

Date:
Client Name:
Case Number:
Session Participants list everyone in the room other than the therapist:
Start Time:
Program Name:
End Time:
Duration:
Chief Complaint and Timeframe of Onset 1:
Subjective Report 1:
Objective Findings 1:
Assessment Progress 1:
CoConstructed Goal:
Long Term Goal 1 1:
Short Term Goal 1 1:
Interventions 1:
Plan Details 1:
2:
undefined:
Suggested Duration of Sessions:
CPT Code s:
Date of next session:
Student Therapist Name:
Text1: