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Massage Therapist

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Massage Therapy Progress Note

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Finished note

Example — generated by Notat from a sample visit

Presenting concern:
Reports increased anxiety and disrupted sleep during a period of work-related stress. Denies thoughts of self-harm.

Assessment:
Anxiety symptoms affecting sleep and daily functioning; no immediate safety concern disclosed.

Plan:
Discussed coping strategies, sleep routine, and follow-up. Patient knows how to seek urgent support if safety concerns arise.

Clinical documentation:
Relevant symptoms, meaningful negatives, assessment, and follow-up advice were captured from the sample visit and organised into the selected template.

FactsContext™

symptoms

Anxiety: Increased anxiety during work-related stress

Sleep: Disrupted sleep

denials of symptoms

Denies: Risk: Denies thoughts of self-harm

Denies: Relevant denials: Relevant red flags and absent symptoms were retained to support the documented assessment.

plan

Support: Coping strategies, sleep routine, and follow-up discussed

Safety-netting: Follow-up triggers and urgent return precautions were documented as part of the plan.

history of present illness

Visit focus: The main concern, timeline, and functional impact were identified from the conversation.

Template

Massage Note

Subjective:
(hyphenated list)
- [Reason for visit]
- [Location and description of symptoms]
- [Onset, duration, and factors affecting symptoms]
- [Previous treatments or interventions]
- [Patient goals for session]

Objective:
(hyphenated list)
- [Posture and gait observations]
- [Palpation findings: muscle tone, tenderness, trigger points]
- [Range of motion: joints or areas assessed]
- [Skin condition]
- [Relevant vital signs if taken]

Assessment:
(hyphenated list)
- [Summary of findings]
- [Clinical impression or working diagnosis]

Plan:
(hyphenated list)
- [Massage techniques used]
- [Areas treated]
- [Response to treatment]
- [Recommendations for home care or follow up]
- [Next appointment or follow up plan]

Shared by

EM

Dr. Elena Márquez

Psychiatrist, Spain

How it works in Notat

Add this template to your library, record the visit as usual, and Notat drafts the note in this exact structure from the extracted clinical facts. You review, edit, and sign.

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