Clinical Note Templates
Free Word templates for clinical documentation. Choose a structure, adapt it to your encounter, and review your practice’s requirements. Visit the specialty guide for therapy, psychiatry and medical workflows.
SOAP Note Template
Subjective · Objective · Assessment · Plan. A structure for organizing encounter details; check the final note against your practice and payer requirements.
DAP Note Template
Data · Assessment · Plan. Faster than SOAP, popular in outpatient talk-therapy settings.
BIRP Note Template
Behavior · Intervention · Response · Plan. Favored in behavioral health and substance-use treatment.
SIRP Note Template
Situation · Intervention · Response · Plan. Used in crisis stabilization and case management.
GIRP Note Template
Goal · Intervention · Response · Plan. Explicit treatment-plan goal linkage for CARF-accredited programs.
PIE Note Template
Problem · Intervention · Evaluation. Brief nursing-originated format for high-volume settings.
Progress Note Template
Narrative-format progress note. For private practice when payer doesn't require a structured format.
Treatment Plan Template
Structured treatment plan with SMART goals, measurable objectives, and evidence-based interventions.
Treatment Plan Examples by Diagnosis
Six complete, fictional plans: depression, anxiety, PTSD, adult ADHD, alcohol use and adjustment disorder, each with an objective bank.
Mental Status Exam Template
The 10 MSE domains with descriptor options, two example write-ups and a free MSE builder.
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Free Clinical Documentation Resources
Get our 6-format note template pack (SOAP, DAP, BIRP, SIRP, GIRP, PIE) — pre-formatted for Word — plus occasional clinical documentation tips from the MentalNote team.
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