SOAP Consultation Note Template
Consistent notes protect the patient and the practice. SOAP keeps every consult structured and defensible.
S — Subjective
- Presenting complaint and history from the owner
- Duration and progression of signs
- Appetite, thirst, toileting, behaviour changes
O — Objective
- Weight, temperature, pulse, respiration
- Physical exam findings by system
- Test, imaging and lab results
A — Assessment
- Problem list
- Differential diagnoses
- Working / confirmed diagnosis
P — Plan
- Treatment given and prescribed (dose, route, frequency)
- Diagnostics requested
- Client advice and home care
- Follow-up / recheck date
Blank Consult
| Section | Notes |
|---|---|
| S | |
| O | |
| A | |
| P |