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Do we have to really count when we are doing a folestein MMSE exam and in the patient note and write the score the pt got out of 30.
 

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You don't need to mention the score points in details unless it's absolutely necessary such as a case of Alzheimer disease.

In other neurological cases, for example, epilepsy, you don't need to count the socre.

You can write in the notes something like the following:
pt oriented to T/P/P, momory/recall/concentration WNL.
 
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