What should a psychology progress note include in South Africa?
A South African psychology progress note usually follows SOAP or DAP (Data, Assessment, Plan): what the client raised, what you observed, your clinical assessment including risk, and the plan for the next session. It must be dated, signed and kept under HPCSA Booklet 9. HeroMed's AI Scribe drafts the progress note, keeps it in a restricted patient record and prepares the invoice in one click.
Written by the HeroMed team · Last reviewed 3 October 2026
A South African psychology progress note usually follows SOAP or DAP (Data, Assessment, Plan): what the client raised, what you observed, your clinical assessment including risk, and the plan for the next session. It must be dated, signed and kept under HPCSA Booklet 9. HeroMed's AI Scribe drafts the progress note, keeps it in a restricted patient record and prepares the invoice in one click.
The full guide has a template, a worked example and the HPCSA Booklet 9 record-keeping rules: Psychology Progress Notes South Africa.