Get Physical Therapy Evaluation Form

Physical therapy evaluations require the following components in selecting the correct evaluation level — History, Examination, Clinical Presentation, and Clinical Decision Making.

Physical therapy evaluations require the following components in selecting the correct evaluation level—History, Examination, Clinical Presentation, and Clinical Decision Making.

During your initial evaluation, your physical therapist will ask you several questions about your condition, previous level of function and how is your present condition affecting the way you live. The initial evaluation is necessary for your PT specialist to understand what you are dealing with.

The Difference Between an Evaluation and Examination A complete PT evaluation starts with a clinical examination comprising the patient history, systems review, and objective data collection. Then, the PT communicates their findings in an evaluation followed by a prescribed plan of care (POC).

11:27 15:45 How To Write a Physical Therapy Evaluation - YouTube YouTube Start of suggested clip End of suggested clip Evaluation. You can still document other key findings here like range of motion strength vital signsMoreEvaluation. You can still document other key findings here like range of motion strength vital signs neuroscreens. General observations.

During this session, your physical therapist will spend time with you to learn about your condition, your previous level of function, and how your condition is affecting your life. They will then take specific measurements of the impairments that may be causing your problem and put together a treatment plan for you.

Documentation elements for the initial examination/evaluation include the following: Page 2 Examination: Includes data obtained from the history, systems review, and tests and measures. Evaluation: Evaluation is a thought process that may not include formal documentation.

Physical therapy evaluations require the following components in selecting the correct evaluation level — History, Examination, Clinical Presentation, and Clinical Decision Making.