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Progress Note Template

Document follow-up visits and ongoing care efficiently. Progress notes focus on what's changed since the last visit.

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What is a Progress Note?

A progress note is a type of clinical documentation used for follow-up visits. Unlike a comprehensive H&P or initial SOAP note, progress notes focus on tracking changes in a patient's condition over time and documenting ongoing treatment.

Progress notes are typically shorter and more focused than initial encounter notes, emphasizing interval history and response to treatment.

Progress Note Sections

Interval History

What has changed since the last visit

  • Symptoms since last visit
  • Response to treatment
  • Medication adherence
  • New concerns

Current Status

Present condition and vital signs

  • Vital signs
  • Current symptoms
  • Functional status
  • Pain level if applicable

Examination

Focused physical exam findings

  • Relevant system examination
  • Comparison to prior exams
  • New findings

Assessment & Plan

Updated diagnosis and treatment plan

  • Problem list update
  • Treatment modifications
  • Follow-up timing
  • Patient education

When to Use Progress Notes

Chronic disease follow-ups (diabetes, hypertension, COPD)
Post-procedure check-ins
Medication management visits
Therapy progress documentation
Specialist follow-up appointments
Behavioral health check-ins

Generate Progress Notes Automatically

PatientNotes AI listens to your follow-up visits and creates focused progress notes in seconds.

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