Contact Us Viking Alternative Medicine, LLC - SOAP Note Provider Time : Hours Minutes AM PM Date MM slash DD slash YYYY Name First Middle Last Date of Birth MM slash DD slash YYYY Vitals _ Height HeightWeight Weight in lbsBlood Pressure Heart Rate O2 Allergies Medical History Reason for Visit/Chief Complaint:SubjectiveMedicationsExam:Assessment:Diagnosis F41.9 - Anxiety disorder, unspecified F32.9 - Major depressive disorder, single episode, unspecified 272.820 - Sleep deprivation R94.6 -Abnormal results of thyroid function studies N52.9 - Male Erectile dysfunction, unspecified R53.83 - Other fatigue E23.6 - Other disorders of pituitary gland R45.4 - Irritability and anger R45.89 - Other symptoms and signs involving emotional state R68.82 - Decreased Libido F06.34 - Mood disorder due to known physiological condition with mixed features M62.50 Muscle wasting and atrophy, not elsewhere classified, unspecified site 273.3 - Stress, not elsewhere classified R63.5 - Abnormal weight gain Plan:Medication Dosage Frequency Medication Dosage Frequency Medication Dosage Frequency Medication Dosage Frequency Program Weekly 5 Weeks 10 weeks Labs Only CBC/CMP HRT Other Other Payment Paid Owes Delivery Ship Pick-up Follow UP/Other:Untitled Signature of ProviderInitials of Documenter
