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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.


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