In-Session Clinical Capture (SOAP): A Real-Time Documentation Tool for Therapists - Google Edition

What This Is

In-Session Clinical Capture (SOAP) — Google Edition is a structured Google Form–based tool designed to help therapists capture clinically relevant information during session, so completing the final SOAP note later is faster, clearer, and less draining.

This version is designed for clinicians who prefer a simple, low-tech workflow using Google Forms and Google Drive.

This is not an EHR and not a replacement for clinical judgment.
It is a documentation support tool built by a therapist, for therapists.

Who This Is For

This tool is especially helpful for clinicians who:

• See Medicaid or insurance-based clients
• Document from memory after session and feel behind
• Want clinically solid notes without over-writing
• Prefer structured prompts over blank narrative fields
• Use Google Workspace as part of their documentation workflow
• Want to reduce end-of-day documentation fatigue

How It Works

During session, you use the Google Form to:

• Capture Subjective, Objective, Assessment, and Plan elements in real time
• Respond to structured prompts designed to support clinical clarity
• Note risk, insight, interventions, and progress as they occur

After submission:

• Responses are automatically organized into SOAP categories
• You can reference the form response when completing your final note in your EHR

The result: less cognitive load, fewer missed details, and faster documentation.

What You’ll Receive

After purchase, you’ll receive:

• ✔ A copyable Google Form template
• ✔ A PDF setup and usage guide
• ✔ Guidance on integrating the tool into your existing documentation workflow

You’ll be able to customize the form language and structure to fit your practice.

Important Notes

• This tool must be copied into your own Google account before use with real client data
• Clinicians are responsible for ensuring documentation meets payer, ethical, and legal requirements
• HIPAA compliance depends on how Google Forms, Google Drive, and any connected workflows are configured

This product does not provide HIPAA compliance on its own.

Why This Tool Exists

This tool was created to address a common clinical experience:

“I know what happened in session — why does writing the note feel so hard?”

The goal is not perfect notes.
The goal is clarity, consistency, and sustainability in documentation.