Getting the most out of your free Massage SOAP Notes form
If you had to choose the top three things you could not live without for successfully running your massage practice (besides clients, of course!), I bet among them would be your SOAP notes.
Because SOAP notes are likely a primary tool for documenting and understanding your client’s needs so that you can tailor their massage to be the most beneficial experience it can be. Clients are always impressed when you “remember” exactly what the issue(s) was the last time they saw you. That kind of professional experience will be one of the main reasons folks will become loyal repeat clients - because they’re impressed with the fact that you care about them enough personally to make sure you’re working on what needs working on…
But not all SOAP notes applications are created equal, so it’s important to use one that is clear, comprehensive, will help remind you of client issues - and is efficient and extremely user friendly.
So what are SOAP notes and why do I need them?
As mentioned above, SOAP notes give you the opportunity to stay tuned into the issues your clients are experiencing. I’m sure you remember the four key parts to SOAP notes for massage therapy:
This refers to how you perceive the client to be doing and includes how your client looks and feels during their activities. This section is where you’ll record things like the mechanism of injury, chief complaint, symptoms, and description of pain. It can also include relevant medical history, which should take up the majority of the note. Hopefully, you’ve already had them fill out an online intake form for their massage prior to their visit so that you’re not wasting any time getting your clients on your massage table to begin their session.
This is how your client is actually doing based on objective measures including a physical exam, range of motion tests, your discoveries of tissue health while palpating, vital signs, and recent results from any labs, or other tests performed outside of your office.
To make it simple it means, “The data the therapist takes from palpation.” It also means: visual-postural analysis, limps, muscle guarding, holding patterns, inconsistencies in movements, atrophy, hypertrophy, bruises, abrasions, scars, swelling, redness, skin irregularities, varicose veins, breathing patterns and prosthetics. Treatment goals can be added to define the intention of your massage choices and that they ensure that your treatment plan has a purpose.
This is when the therapist evaluates what she or he is doing, such as changes in the client’s condition because of treatment and/or changes in symptoms. (Sometimes people include the application in the assessment part)
The plan is the treatment you intend to implement, including long-term treatment plans and lifestyle recommendations. It contains all the required steps, and details every proposed treatment, including therapies and surgeries.
It should also outline what you want to review during their next session and include what worked, what didn’t work, what you did not address, and what you want to make sure to work on next time.
If there are no changes to be noted in the assessment part, you may have ideas for next time. Recommend the client to get a massage on a regular basis, such as once a week for four weeks. They might not follow it but at least you are looking out for their best interest and have it documented.
It should also include your short- and long-term goals for the client with any potential homework or exercises they should be doing.
Download MassageBook’s totally free massage SOAP notes template
Need a simple, free SOAP notes template for your massage business that you can print out?
Well, you’re in luck. Below you’ll be able to download your very own SOAP notes template to store on your computer and print out copies as needed.
Even better, your free download also includes a digital SOAP notes template so that your massage business can go paperless.
SOAP notes are something that as massage therapists we use EVERY single day, and it’s important to have a SOAP notes form that allows you to accurately add in your client’s medical history and store it for safekeeping and future reference.
The next level of massage SOAP Notes
If you’re looking for the next level of simplicity, efficiency, and professionalism, consider using MassageBook’s premium SOAP notes, which are included in every paid plan. Not only will you be able to click or tap through layers of an anatomical figure, but you’ll also be able to draw on the anatomy figure - as well as place Subjective and Objective tags directly on the anatomical figure.
Combine this with MassageBook’s ability to create full sentence descriptions of Subjective and Objective notes by only requiring the massage therapist to select from a few drop-down list items of descriptive terms (like “left”, “distal”, “tibialis”, “hypertonicity”), and your massage SOAP notes will practically write themselves. SOAP notes don’t need to be a pain in the tail to complete anymore!
And what good are SOAP notes if they’re not immediately available to view or add to? No good at all! So that’s why all SOAP notes in MassageBook are automatically linked to your clients (and their appointments on your schedule!).
Busy day, and you can’t remember if you completed a massage SOAP note for each client? You’re covered on that front as well. MassageBook tracks who you haven’t written a SOAP note for and puts them in a nice clean list so you can make quick work of completing them.
You can even copy your notes from their last session into the current SOAP note so you can simply make edits rather than having to start with a blank note!
Fast, efficient, easy, and incredibly useful - especially when paired with a digital intake form. Once you’ve used our massage intake form and SOAP notes solution, you’ll wonder how you ever got along without them.
Don’t have a MassageBook subscription yet? Download the free massage therapy SOAP notes template below.
- Author: Sheree Evans
- Published: October 16, 2017