Use the Acronym S.O.A.P. to write treatment flawless tx notes. Symptoms: what the patient is experiencing regarding hi/her tooth or tissue, Observation: what the Dr. Assistant or hygienist sees, Analysis: diagnosis from Dr and Procedure: the actual treatment performed step by step. Be sure to place specific quotes from patient and what Dr. told patient. Follow this guideline to have consistent great notes that will keep ypur Dr. out of jail
Easy formula for writing treatment notes.
Susan Ketterer Consulting 