Summary: It's critically important as an APP to have the courage to ask for what you need. If you need a physician to see a patient - you need to lead with that. It's called an AP-SOAP note. AP = your assessment and plan. It sounds something like this, "doc, I have a patient I am uncomfortable with (your assessment) and I would like you to come see them with me (your plan.) Too often APPs don't ask for what they need and the patient suffers.