Physical Therapist Evaluation Form Template
Document patient function, limitations, and goals from the first session in a structured format.
A thorough initial evaluation sets the foundation for every PT session that follows. But when evaluation notes are handwritten, inconsistently formatted, or spread across different documents, it's hard to track patient progress over time or hand off cases clearly to a colleague. The documentation process shouldn't slow down the clinical one.
A Typeform physical therapist evaluation form guides you through each assessment domain systematically. You can capture presenting complaint, pain levels, functional limitations, range of motion, strength findings, and patient goals in one place. Conditional logic lets you show musculoskeletal-specific questions for an orthopedic case that you wouldn't include for a neurological evaluation.
Customize the form to match your clinic's assessment protocol, add your branding, and use it for new patient intake or ongoing re-evaluations. Responses are organized and searchable, making progress tracking and reporting easier.
A physical therapist evaluation form documents the findings from an initial or follow-up patient assessment. It captures medical history, presenting symptoms, functional limitations, clinical findings from physical examination, and treatment goals, forming the foundation of the care plan.
A consistent evaluation format ensures nothing is missed during assessment and creates a reliable record for tracking progress over time. It also makes it easier to communicate with referring physicians, insurance providers, or other members of the care team.
Cover the clinical domains relevant to the patient's presentation:
- Patient demographics and referring physician details
- Chief complaint and history of present illness
- Pain rating and location (with body diagram if needed)
- Functional limitations and activities affected
- Postural assessment and range of motion findings
- Strength, flexibility, and balance test results
- Prior treatments and responses
- Short and long-term treatment goals
The template is fully editable. A pediatric PT evaluation will look different from one focused on sports rehabilitation or post-surgical recovery. Conditional logic lets you branch the assessment based on the patient's age group, injury type, or referral diagnosis.
Yes. You can create a shorter re-evaluation version that focuses on progress since the last assessment, changes in pain or function, and updated goals. Comparing the initial evaluation with re-evaluations over time gives you a clear, documented record of the patient's trajectory.
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