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Chiro SOAP CSC
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Chief Complaint
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Diagram
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CC Notes
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Progress
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Intensity
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Quality
• • •
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Frequency
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Timing
• • •
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VAS
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Duration
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radiation
• • •
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Denies Radiation
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ADL
• • •
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Aggravating Factors
• • •
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Aggravating Factors Notes
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Relieving Factors
• • •
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Relieving Factors Notes
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Tx Gains
• • •
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Regression
• • •
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No New Complaints
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New Complaint
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ROM Diagram
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ROM Notes
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Observation
• • •
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Observation Comments
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Hypertonicity
• • •
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Palpation Intensity
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Tenderness Intensity
• • •
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TP's
• • •
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Tightness
• • •
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Muscle Tone Notes
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Chiropractic Evaluation
• • •
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Chiropractic Eval Notes
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Objective Other
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Assessment Notes
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Exacerbation of Symptoms
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Patient Response to Tx
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Treatment Progress
• • •
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Treatment Gains
• • •
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Treatment Gains Notes
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Treatment Challenges
• • •
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Treatment Challenges Notes
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Continued Care Warranted
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MTB Reached
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Prognosis
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Treatment Schedule
• • •
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Spinal CMT
• • •
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Extremity CMT
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Areas adjusted
• • •
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Areas Adjusted Other
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ART
• • •
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ART Duration
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PIR
• • •
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PIR Duration
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Static Stretching
• • •
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Stretching Duration
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STM
• • •
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STM Duration
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STM Type
• • •
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IASTM
• • •
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IASTM Duration
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Hot Pack
• • •
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Hot Pack Duration
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Ice Pack
• • •
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Ice Pack Duration
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EMS
• • •
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EMS Duration
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EMS Type
• • •
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US
• • •
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US Setting
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Mechanical Traction
• • •
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Mechanical Traction Duration
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LLLT
• • •
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KT
• • •
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Exercise (1 set of 10 reps)
• • •
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Exercise (2 sets of 10 reps)
• • •
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Exercise (3 sets of 10 reps)
• • •
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Exercise stretches
• • •
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Exercise Free Form
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Exercise Duration
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Nurtitional/ Botanical Supplements
• • •
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Home Care
• • •
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Other Treatment
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Post Treatment Response
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Post Tx Notes
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X-Ray Orders
• • •
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Blood Work Orders
• • •
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MRI Orders
• • •
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MSK Ultrasound
• • •
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