SOAP Notes for Speech Language Pathology

Key Components in SLP SOAP Notes

• Subjective (S): Client's (or caregiver's) report of concerns, observations about communication/swallowing, relevant medical/social history, and progress since last session.
• Objective (O): Measurable and observable data from standardized tests, informal assessments, clinical observations of speech/language/swallowing tasks, accuracy percentages, cueing levels required, and specific techniques utilized during therapy.
• Assessment (A): SLP's analysis of subjective and objective information, interpretation of performance, progress towards goals, factors influencing progress, and updated clinical impressions or diagnoses. Justify continued skilled intervention.
• Plan (P): Outline for future sessions, including target goals, specific therapy activities/strategies, frequency/duration of therapy, home practice recommendations, and any planned consultations or referrals.

General Tips for Effective SLP SOAP Notes

• Use specific, measurable, achievable, relevant, and time-bound (SMART) goals.
• Clearly document data to support progress or lack thereof.
• Use professional terminology accurately.

Specific Examples & Conditions for Speech Language Pathology

Explore detailed SOAP note examples for common scenarios in Speech Language Pathology:

• Dysphagia (Swallowing Difficulty) Example
• Aphasia (Post-Stroke Communication) Example
• Childhood Articulation Example