Step 1 — Note Format
SOAP Subjective, Objective, Assessment, Plan
DAP Data, Assessment, Plan
BIRP Behavior, Intervention, Response, Plan
GIRP Goal, Intervention, Response, Plan
PIRP Problem, Intervention, Response, Plan
CBT
DBT
ACT
Motivational Interviewing
Trauma-Informed / EMDR
Psychodynamic
SFBT
Person-Centered / Rogerian
Eclectic / Integrative
Medication Management
Your Note Template
Medical necessity reminder: Your note should answer — why does this patient need this service, at this frequency, at this level of care? Link symptoms to functional impairment and treatment goals in every note.
Saved Templates