Scope is 100% free for US + CA healthcare professionals.

Medical Documentation Templates

Browse pre-built templates created by Scope Health. Sign up to add them to your collection and customize them for your practice.

Showing 18 of 18 templates

Document

After Visit Patient Summary

Patient-facing summary after visit

General
Document

BIRP Note (Therapy)

Behavior, Intervention, Response, Plan format for therapy

Mental Health Counseling
Document

DAP Note (Therapy)

Data, Assessment, Plan format for therapy sessions

Mental Health Counseling
Document

Dermatology Note

Specialized template for dermatology visits

General
Document

Discharge Note

Documentation for patient discharge

General
Document

Family Medicine Note

Template for family medicine office visits

General
Document

H&P

Comprehensive History and Physical examination documentation

General
Document

Internal Medicine New Patient Note

Comprehensive new patient evaluation for internal medicine

General
Document

Internal Medicine Note

Template for internal medicine encounters

General
Document

Issues List

Problem-focused list format for tracking patient issues

General
Document

OASIS Assessment

Home health OASIS assessment template

Nursing
Document

Physical Therapy Initial Assessment

Comprehensive initial evaluation for physical therapy

Physical Therapy
Document

Physical Therapy SOAP Note

SOAP format for physical therapy encounters

Physical Therapy
Document

Referral Letter

Formal letter for specialist referrals

General
Document

SBAR Communication Note

Situation, Background, Assessment, Recommendation format for clinical communication

Nursing
Document

SMART Goal

Specific, Measurable, Achievable, Relevant, Time-bound goal documentation

General
Document

SOAP Note

Standard Subjective, Objective, Assessment & Plan format for medical encounters

General
Document

SOAP Note (Therapy)

SOAP format adapted for mental health therapy sessions

Mental Health Counseling

Get started with Scope today

Spend more time caring for patients, not charting. Scope captures your patient encounters in real time and quickly generates high-quality clinical notes – and it's completely free.

AnneLisaDavid
1k+

from 1k+ happy clinicians

Get started now