SOAP Acupuncture SOAP Acupuncture Treatment Date* MM slash DD slash YYYY Patient Name* First Last Patient's Date of Birth* MM slash DD slash YYYY SubjectiveList Primary Complaints and if they are improving, deteriorating, no change or 1st visit:*Pain scale 0 (None) -10 (High) and Type of pain?ObjectiveNotes*Therapies Performed Today Acupuncture 1st set of needles Acupuncture 2nd set of needles Acupuncture 3rd set of needles Electrical Stim 1st set of needles Electrical Stim 2nd set of needles Electrical Stim 3rd set of needles Cupping Manual Therapy Infrared Heat Moxabustion or Other Therapy (please explain) Injection Therapy Acupuncture Point Descriptions*Manual Therapy Description*Assessment and PrognosisNotesPain scale 0 (None) -10 (High) and Type of pain?Post Treatment Patient Subjective CommentsPlanNotesProvider Name* First Last Credentials
