OP Note Editor

📋 Patient Selection

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Patient First Name *

Age

Pronouns

Appointment Date

📋 Paste Old Note (optional)

Paste an old note and click "Parse Note" to extract relevant fields (coming soon), or just keep it here for reference while writing.

📝 Medication Management Follow-Up

S - Subjective ▼

Last Visit Type

Visit Type

Arrival

What Patient Reports (Your Summary)

Activities

Sleep

Therapy

Medication Adherence

Side Effects

Medication Changes/Concerns

Other Updates

My Observations

Safety Screening

A - Assessment ▼

Psychiatric History

Presentation Consistent With

Clinical Reasoning / Formulation

Clinical Status

Clinical Status Details

PHQ-9 Score

GAD-7 Score

Risk Factors

Protective Factors

Overall Acute Risk

P - Plan ▼

PHQ-9 and GAD-7

Therapy Status

Labs

Follow-Up Timeframe

Current Medication Regimen

Medication Changes

Medication Strategies Discussed

💬 Psychotherapy Follow-Up

Previous Note Reference

Paste an old note and click "Parse Note" to extract fields, or keep it for reference.

S - Subjective ▼

Last Visit Type

Arrival Time

What We Explored / Discussed

Themes

Therapeutic Interventions

My Observations

Safety Screening

A - Assessment ▼

Psychiatric History

Clinical Status

Clinical Reasoning / Formulation

Risk Factors

Protective Factors

Overall Acute Risk

P - Plan ▼

Medication Status

Follow-Up Timeframe

📋 Full SOAP Note (with MSE)

S - Subjective ▼

Last Visit Type

Visit Type

Arrival

Chief Complaint / What Patient Reports

Activities

Sleep

Therapy

Medication Adherence

Side Effects

Other Updates

My Observations

Safety Screening

O - Objective (Mental Status Exam) ▼

Appearance

Behavior

Speech

Mood (Patient-Reported)

Affect

Thought Process

Thought Content

Perceptions

Cognition

Insight / Judgment

Measures

PHQ-9 Score

GAD-7 Score

A - Assessment ▼

Psychiatric History

Presentation Consistent With

Clinical Reasoning / Formulation

Clinical Status

Clinical Status Details

Risk Factors

Protective Factors

Overall Acute Risk

P - Plan ▼

Labs

Current Medication Regimen

Medication Changes

Medication Strategies Discussed

Therapy/Psychotherapy Plan

Follow-Up