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INTERACTIVE PREVIEW • DRAFT
Metropolitan Health Partners
Dr. Alex Rivera, M.D. • Specialist Physician
100 Medical Center Blvd, Suite 200 • (555) 890-1200
PHYSICAL THERAPY SOAP EVALUATION
Date: 2026-08-16
I IDENTIFICATION (Patient & Referral)
PatientJane Doe
DOB / Demographics1985-07-22 (Female / 41 yo)
MRN / Record #CLINIC-2026-0042
Referring ProviderDr. Gregory House, M.D.
SSUBJECTIVE
Chief Complaint & Subjective Symptoms:
Patient presents reporting...
Pain Score / Severity (VAS 0-10):
e.g. 6/10 active, 1/10 resting
Functional Limitations & Goals:
e.g. Difficulty with stairs, return to work
OOBJECTIVE
Physical Examination FindingsInspection, palpation, neurological / orthopedic tests...
Range of Motion (ROM) & Strength (MMT)e.g. Flexion 110° / Ext 0°, MMT 4/5
Diagnostic / Imaging / Lab Findingse.g. Radiographs negative for fracture, Vitals WNL
AASSESSMENT
Clinical Diagnostic Impression:
Synthesize findings and provide primary clinical diagnosis...
Rehabilitation / Recovery Prognosis:
e.g. Good with adherence to prescribed care plan
PPLAN
Treatment Interventions & Prescriptions:
1. Manual therapy & modalities
2. Prescribed medication...
Home Care Instructions / HEP:
Perform home exercise program 2x daily...
Next Follow-Up Schedule:
Return in 2 weeks for re-assessment
Licensure / NPI: LIC #MED-89421
Dr. Alex Rivera, M.D.
Specialist Physician
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