Get Physical Therapy Initial Evaluation Template

Filling out the Physical Therapy Initial Evaluation Template online is an essential step in providing effective care. This guide will walk you through the components of the form and offer clear instructions to ensure accurate and complete entries.

Follow the steps to complete the online evaluation template

1. Click the ‘Get Form’ button to obtain the template and open it in your digital editor.
2. Begin with the patient’s information section. Fill in the patient's name, date, time in, and time out. Ensure that all details are accurate for proper identification.
3. In the diagnosis section, provide a brief description of the patient's conditions or diagnoses relevant to their physical therapy.
4. Complete the medical history section by listing any relevant past medical issues and current health concerns, using the provided checkboxes.
5. Document the patient’s living arrangements and home accessibility. This information can help inform care strategies tailored to the patient’s environment.
6. Indicate any available durable medical equipment or assistive devices that the patient has access to, which may aid in their recovery.
7. Measure and record the prior level of function using the provided codes to indicate the patient's independence in various activities and mobility.
8. Evaluate the patient's sensory perception, proprioception, edema, circulation, and other functional limitations. Use the appropriate grading system provided in the template.
9. Assess the patient's strength through manual muscle tests, noting any precautions and limitations as indicated in the form.
10. Set rehabilitation goals ranging from short-term to long-term. Document the specific objectives and desired outcomes for the patient’s recovery.
11. Outline the plan of care, detailing the interventions and visit frequency for the planned physical therapy sessions.
12. After completing all sections, save your changes. You may choose to download, print, or share the completed form as needed.

Complete your Physical Therapy Initial Evaluation Template online today for efficient patient care.