SOAP note · 27 Apr 2026
Dr. Majani Edward · 27 Apr 2026, 15:20
S
Subjective
45M telehealth review. Reflux well-controlled on omeprazole. Anxiety noticeably improved since starting sertraline 6 months ago. Sleeping better. Motivated to cut back smoking — requesting help.
O
Objective
Appears well on camera. Speech clear, affect improved.
A
Assessment
GORD — stable. GAD — responding well to SSRI. Tobacco use — motivated to quit.
P
Plan
Continue current medications. Refer to smoking cessation clinic. NRT prescription issued. Follow-up in 3 months.