Note Templates

Clinical Note Templates for Clinicians

Browse SOAP notes, SBAR handoffs, referral letters, discharge summaries, progress notes, and specialty documentation examples. Notat turns the patient conversation into structured notes without forcing clinicians to pick templates during the visit.

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Hundreds of note, document, and form templates shared by clinicians across specialties and countries — open any of them and use it in Notat.

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Detailed examples

Full clinical note examples

These examples show the structured output clinicians can review after a consultation.

General Practice

New Patient Visit

Complete intake documentation — chief complaint, history, exam, assessment, and plan captured in one visit.

42M presents with 3-week history of dull left-sided chest pressure radiating to left arm. BP 148/92. Denies SOB, orthopnea, or recent syncope. PMH: HTN dx 8y ago, hyperlipidemia. Social: occasional ethanol, never smoker.

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General Practice

Return Patient Visit

Follow-up documentation with automatic longitudinal awareness — Notat surfaces changes since last visit.

Return visit for T2DM follow-up. HbA1c improved from 8.4% to 7.2% on metformin 1000mg BID. Lipids: LDL down 18 points on rosuvastatin 10mg. BP at goal 128/82. No hypoglycemic episodes.

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Emergency Medicine

Emergency Department Note

Fast-paced ED documentation — triage presentation, resuscitation notes, critical care handoffs, and EMS integration.

67M male BIBA to ED via EMS after witnessed cardiac arrest. ROSC achieved at 12 min, EKG shows STEMI in leads II, III, aVF. Given aspirin 325mg, heparin 4000U en route. Current GCS 6, intubated.

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Psychiatry

Psychiatric Evaluation

Comprehensive psychiatric interview preserving therapeutic alliance — MSE, risk assessment, formulation, and treatment planning.

34F presents with worsening anhedonia, suicidal ideation with plan (method: overdose), and insomnia x 3 weeks. PHQ-9 score 18. MSE: grooming fair, psychomotor normal, affect dysphoric, thought process linear.

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Surgery

Surgical Consultation

Pre-operative assessment with clearance documentation, operative planning, and multidisciplinary handoff notes.

62M referred for cholecystectomy consult. RUQ positive, ASA III. Comorbidities: T2DM, obesity (BMI 34), OSA on CPAP. Cardiac echo: EF 55%, mild diastolic dysfunction. Labs: CBC pending, CMP within normal limits.

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OB/GYN

Prenatal Visit

Structured prenatal documentation across trimesters — fundal height tracking, screening results, and anticipatory guidance.

28w5d GA prenatal visit. LMP 8w ago. FH: 28cm (50th %ile), FHR 145 bpm regular. Glucose challenge passed (140 to 118 mg/dL). Anatomy US done: placenta anterior, low-lying. Next: Tdap due 27-36w.

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Pediatrics

Well-Child Visit

Pediatric growth monitoring with developmental surveillance, immunization tracking, and anticipatory guidance.

4-year-old well-child check. Weight 16kg (75th %ile), Height 102cm (50th %ile), HC 51cm. Gross motor: hops on one foot, catches ball. Language: 4-word sentences, follows 2-step commands. Vaccines: DTaP #5 due.

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Internal Medicine

Discharge Summary

Hospital discharge documentation with diagnosis summary, medication reconciliation, and clear follow-up instructions.

Discharge summary after 5-day admission for CAP. Blood cultures grew S. pneumoniae, sensitivities pending. Treated with ceftriaxone 2g IV q12h, defervesced to afebrile on day 3. Discharged home with oral augmentin 10d.

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By specialty

Templates connected to clinical specialties

Curated examples connect common note searches to the specialty pages where those workflows are explained.

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