Acupuncture SOAP Note Example

A strong acupuncture SOAP note must balance subjective patient reports with objective clinical findings. The Subjective section should detail the chief complaint, pain scales, and TCM-specific symptoms like sleep or appetite changes. The Objective section requires precise documentation of tongue and pulse findings, physical palpation, and the specific acupuncture points used. The Assessment should synthesize these into a diagnosis or pattern, while the Plan outlines the treatment frequency and expected goals.

Using Aduvera eliminates the need to recall these details from memory hours after the visit. The AI scribe captures the nuances of the encounter in real-time, drafting the initial SOAP structure based on the actual conversation. This allows the clinician to focus on the review process—verifying that the point selection and patient responses are captured accurately—rather than spending time on manual data entry.