Telehealth SOAP Note Template

Subjective:
- Reason for Visit:
- Telehealth Consent Verified:
- Connection Quality / Tech Issues:
- Patient or Caregiver Report:

Objective:
- Visual Observations:
- Remote Vitals (if provided):
- Home Monitoring Data:
- Photos/Uploads Reviewed:

Assessment:
- Clinical Impression:
- Differential Diagnoses:
- Virtual Exam Limitations:

Plan:
- Diagnostics/Orders:
- E-Prescriptions:
- Home Care Instructions:
- Follow-up Plan (virtual vs in-person):
- Escalation/Return Precautions:

Sign-off:
- Provider Signature  Credentials
- Date / Time