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For those who aren't solo practitioners, say Vasquez and others, it's important to learn the record-keeping culture of your workplace.
Copy client's last note and make edits to save time from starting.
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SOAP notes are easy-to-use and designed to communicate the most relevant information about the individual. Psychotherapy notes, also called process or private notes, are notes taken by a mental health professional during a session with a patient. By documenting the medical care and history over time, records provide several benefits to patients.
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