Clinical note templates, with complete examples
Each template lists what belongs in every section, prompts you can keep in your own template, and a complete example written by a physician for an invented patient. Use them as they are, or let Scribeable write the note in the format you choose.
SOAP note template
Physicians, NPs, PAs and other clinicians, for outpatient and follow-up visits.
History and physical (H&P) template
Admitting physicians, hospitalists, residents and consultants.
Hospital progress note template
Hospitalists, residents and inpatient consultants, once a day per patient.
Discharge summary template
Hospitalists and residents at discharge; read by the primary care physician and the next facility.
Therapy progress note template
Psychiatrists, psychologists, therapists, counselors and social workers after each session.
DAP note template
Therapists, counselors, social workers and case managers.
Biopsychosocial assessment template
Psychiatrists, therapists, social workers and primary care clinicians at intake.
SBAR template
Nurses, residents and physicians, for urgent calls, consults and handoffs.