QuickEMR Interactive SOAP Note Practice

Brown, Tina - PT-FIC Actions

Case/Acct: 123456789101

DOB: 01/15/1982 (44)

Gen: Female

Primary: DFEC

CoPay/Ins: - / -

Secondary:

Mobile: 940-435-8791

Phone 2:

Referring:

PID: 60

Diag: Oth intvrt disc degen, lum rgn w discog bck & lw extrm pain

First: 05/23/2025

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Notes

Actions	Provider	Date	Type	Delete
View	Therapist, Physical	02/20/2026	Therapy Visit Note	Delete
View	Provider, Medical	02/20/2026	Initial Medical Evaluation	Delete
View	Provider, Medical	12/16/2025	Initial Medical Evaluation	Delete
View	Therapist, Physical	09/02/2025	Therapy Visit Note	Delete

Appointments

Provider	Date	Time	Day	Status
Provider, Medical	12/16/2025	10:00 am	Tu
Provider, Medical	05/23/2025	11:00 am	F

Brown, Tina - Disability Narrative - 04/01/2026 Actions HEP

▲ No appointment was found for this note.

Case/Acct: 123456789101

Pat Type: PT-FIC

DOB: 01/15/1982 (44)

Gender: Female

Work Rel: Yes

Visit: 6 of 6

Cancels: 0

Refer:

Prim:

Other:

P Ins: DFEC

S Ins:

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Code	Description
M54.16	Radiculopathy, lumbar region

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Brown, Tina - Disability Narrative - 04/01/2026 Actions HEP

▲ No appointment was found for this note.

Case/Acct: 123456789101

Pat Type: PT-FIC

DOB: 01/15/1982 (44)

Gender: Female

Work Rel: Yes

Visit: 6 of 6

Cancels: 0

Refer:

Prim:

Other:

P Ins: DFEC

S Ins:

Print Provider Signature Print Short Term Goals Print Long Term Goals Print Charges Print Charge Amount Print PQRS

Time In

Time Out

Ready for Review Complete & Sign

Restrictions: Require Provider Signature Received

Subjective

Chief Complaint*✪ ✎ 0/8000

Detailed Description Of Injury/Condition *✪ ✎

Ms. Brown presents today with severe lower back pain that she reports is the result of cumulative physical stress from her job duties as a City Letter Carrier for the United States Postal Service (USPS), a position she has held for over 15 years. Her role requires extensive walking-often 8 to 10 miles per day-while carrying a mail satchel weighing between 15 to 35 pounds.

Throughout her workday, Ms. Brown is required to repeatedly bend and twist her torso to sort and retrieve mail from her satchel, mail trays, and postal vehicle. She frequently climbs up and down steps at residential and commercial addresses, which places additional strain on her lower back and lower extremities. She also lifts and handles parcels of varying weights and awkward sizes, many of which require forceful exertion from non-neutral postures.

She performs these repetitive and physically demanding tasks for 6 to 8 hours per shift, five to six days per week, with very little opportunity for rest or ergonomic accommodation. As a result, Ms. Brown reports persistent and worsening lower back pain that intensifies during and after her shifts. Her primary care provider has evaluated her condition and attributed her symptoms to the cumulative effects of these occupational demands. She has been advised to pursue a workers' compensation claim and seek specialized care to address her work-related musculoskeletal condition.

Ms. Brown presents today with severe lower back pain that she reports is the result of cumulative physical stress from her job duties as a City Letter Carrier for the United States Postal Service (USPS), a position she has held for over 15 years. Her role requires extensive walking-often 8 to 10 miles per day-while carrying a mail satchel weighing between 15 to 35 pounds.

Throughout her workday, Ms. Brown is required to repeatedly bend and twist her torso to sort and retrieve mail from her satchel, mail trays, and postal vehicle. She frequently climbs up and down steps at residential and commercial addresses, which places additional strain on her lower back and lower extremities. She also lifts and handles parcels of varying weights and awkward sizes, many of which require forceful exertion from non-neutral postures.

She performs these repetitive and physically demanding tasks for 6 to 8 hours per shift, five to six days per week, with very little opportunity for rest or ergonomic accommodation. As a result, Ms. Brown reports persistent and worsening lower back pain that intensifies during and after her shifts. Her primary care provider has evaluated her condition and attributed her symptoms to the cumulative effects of these occupational demands. She has been advised to pursue a workers' compensation claim and seek specialized care to address her work-related musculoskeletal condition.

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