SOAP Note Generator for NDIS & Care Workers
Turn rough notes into a structured SOAP note — Subjective, Objective, Assessment, Plan — in seconds.
Free · no card needed · stays in Australia · you check the final note before submitting.
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From a rough note to a clear one
Rough note
participant said sore knee observed limping mobility reduced today plan monitor and report to RN
Clearer note
S (Subjective): Thomas reported 'my knee is really sore today' during morning personal care. He stated the pain started overnight and rated it 5/10. He denied any fall or injury. O (Objective): Support worker observed Thomas walking with a notable limp, favouring his left leg throughout the morning. He required moderate assistance with transfers from bed to wheelchair (increased from usual minimal assistance). No visible swelling, bruising, or skin changes observed on either knee at time of note. A (Assessment): Thomas is experiencing reported left knee pain and reduced mobility compared to his documented baseline. No known injury, but onset and functional change are outside normal presentation. This has not been previously documented. P (Plan): Support worker to monitor Thomas's mobility and pain level throughout the shift and document any change. Handover note left for next shift. Matter referred to registered nurse [Name] by phone at 11:30am for clinical review. Thomas's family contact to be notified if condition worsens before RN review.
A SOAP structure helps allied health, nursing, and care teams quickly locate subjective reports, objective observations, and the agreed plan — reducing handover errors.
- Separates what the person said from what you observed
- Audit-aware: clear plan section shows follow-through
- You remain responsible for accuracy of each section
What to include
- S: the person's own words where possible, in quotes
- O: measurable or observable facts only — what you saw, heard, or measured
- A: a brief summary of what the observations suggest, without diagnosing
- P: specific next steps, who is responsible, and timeframe
- Notifications made (RN, supervisor, family) with time
What not to write
- Mixing subjective and objective information in the same section
- Clinical diagnoses in the Assessment section — that is the clinician's role
- Vague plans like 'monitor' without specifying what to monitor and when to escalate
- Leaving the Plan section blank or incomplete
When this may need escalation
Sudden or unexplained changes in mobility, pain, or function should be escalated to a clinician — do not wait for the next scheduled review.
- New or worsening pain, swelling, or inability to weight-bear — notify the RN or GP promptly
- Any change that is significantly outside the person's baseline functioning
- If you are unsure whether to escalate, escalate — document that you did and follow your provider's process
SupportNotes helps you write clearer, more objective drafts. It is not the NDIS, not legal advice, and not a substitute for incident reporting. You remain responsible for accuracy and for lodging any reportable incident with the NDIS Quality & Safeguards Commission.
Free
- Generate unlimited notes
- Every note style (shift, progress, SOAP, ISBAR, incident)
- Objective-language quick check
- Private Australian AI
Pro — $19/mo
- Save notes in a 7-year audit vault
- Full Audit Check
- Link participant goals
- Export PDF & build audit packs
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FAQ
- Do support workers need to write SOAP notes, or is that just for nurses?
- SOAP notes are used across nursing, allied health, and some disability support settings — especially in SIL and clinical support roles. If your organisation uses SOAP format, this tool will help you structure your notes correctly. If your provider uses a different format, use the matching tool instead.
- What goes in the Assessment section if I'm not a clinician?
- Keep it brief and factual: summarise what the observations suggest about the person's current status compared to their baseline. For example: 'Thomas's mobility has reduced from his usual level and he reports new pain.' Do not write diagnoses — that is the clinician's responsibility.
- Can I use SOAP notes for every shift, or only when something changes?
- SOAP notes are most useful when there is a clinical concern or change to document. For routine shifts with no change, your organisation may use a simpler progress note format. Check your organisation's documentation policy.