⚠ Do not enter real client identifiers (full name, DOB, address, phone, email, MRN, SSN). All processing happens in your browser locally, but anyone with access to your screen could see what you type. Use initials and an age range. For real client SOAP notes, the HIPAA-compliant MentalNote add-in for Word is the right tool.
Document specific impairment in occupational, social, academic, self-care, or family domains. Required for medical necessity. Generic phrases like "impacting daily life" usually fail payer audit.

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