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ACCT. #:__________________________________ Daily S.O.A.P Notes – Heritage Chiropractic Clinic * Geoffrey A. Sandels, D.C. * 2407 Lenora Church Road * Snellville, GA 30078 * 770-979-2731
VISIT # 1 2 3 4 5 6 7 8 9 10 11 12
(A) ASSESSMENT
New Injury
Guarded
Some Improvement
(A) ASSESSMENT
Satisfactory Progress
No Change
Exacerbation
Aggravated
Regressed
Stabilizing
Complications
Other
Other
(P) PLAN
Written Treatment Plan
Adjustment
Therapeutic Modalities
Exercise Regime
Lifestyle modification
Patient Education
Next Appointment
(P) PLAN
Other
TREATMENT
Area Procedure
C.M.T.
I.T.
S.T.M.
Cr/Fo
T.P.T.
PROCEDURE: C.M.T. = CHIROPRACTIC MANIPULATIVE THERAPY, I.T. = INTERSEGMENTAL TRACTION, S.T.M. = SOFT TISSUE MOBILIZATION, CR/FO = CRYOTHERAPY AND/OR
FOMENTATION, T.P.T. = TRIGGER POINT THERAPY AKA MYOFASCIAL RELEASE.
ALL TREATMENTS WERE PERFORMED BY THE DOCTOR, INCLUDING CMT- CHIROPRACTIC MANIPULATIVE THERAPY, SOFT TISSUE MOBILIZATION, TRIGGER POINT THERAPY,
INTERSEGMENTAL TRACTION, AND CRYOTHERAPY / FOMENTATION. ALL ADJUNCTIVE THERAPIES LAST A MINIMUM OF 10-15 MINUTES.