© 20

21

Walden University

Page

1

of

2

Week

4

S

kin

Comprehensive SOAP Note Template

Patient Initials: _______

Age: _______

Gender: _______

SUBJECTIVE DATA:

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History

(PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/

Social History:

Health

Maintenance:

Immunization History

:

Significant

Family History:

Review of Systems:

General:

HEENT:

Respiratory:

Cardiovascular

/Peripheral Vascular

:

Gastrointestinal:

Genitou

rinary:

Musculoskeletal:

Neurological:

Psychiatric:

Skin

/hair/nails

:

OBJECTIVE DATA:

© 2021 Walden University Page 1 of 2

Week 4

Skin Comprehensive SOAP Note Template

Patient Initials: _______ Age: _______ Gender: _______

SUBJECTIVE DATA:

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Health Maintenance:

Immunization History:

Significant Family History:

Review of Systems:

General:

HEENT:

Respiratory:

Cardiovascular/Peripheral Vascular:

Gastrointestinal:

Genitourinary:

Musculoskeletal:

Neurological:

Psychiatric:

Skin/hair/nails:

OBJECTIVE DATA: