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πŸ“‹ Documentation Sheet for Physical Therapists

Save time with simple, powerful smart phrases generated by a Google Sheet.

 

πŸ“‹ Documentation Sheet for Physical Therapists

Improve efficiency with documentation using accessible & adaptable technology.

Equipped with powerful formulas and formatting, this Google Sheets template generates dynamic smart phrases to copy & paste into any electronic medical record (EMR).

Whether you are a physical therapist working as a solo practitioner or part of a larger clinic, the Documentation Sheet can help you save time with paperwork so that you can spend more time with your patients and family.

 
 

βœ… Accessible

  • Accessible from any web browser

  • Compatible with any EMR

  • HIPAA-compliant with paid Google Workspace plan and signed BAA

♾️ Adaptable

  • Modifiable to meet the needs of any practice setting or style

🎨 Aesthetically-pleasing

  • Easy-to-navigate SOAP note format

  • Color-coded by section and body region

500+ rows of general physical therapy evaluation elements, including...

    • πŸ”΄ Symptom Behavior (SINSS & aggs/eases for up to three symptoms, red flag screening questions)

    • 🟠 History (PMH, social history, medication, surgical history)

    • 🟑 Goals (HEP, symptom, functional, objective)

    • 🟣 Patient Specific Functional Scale (PSFS)

    • ⚫ Observation (Vitals, posture, UE/LE alignment, gait, palpation)

    • 🟠 Cervical / Thoracic (AROM, UE Neuro Screen, Special Tests, Joint Mobility)

    • πŸ”΄ Shoulder (A/PROM, UE MMT, Special Tests, Joint Mobility)

    • 🟑 Elbow / Wrist / Hand (A/PROM, UE MMT, Special Tests, Joint Mobility)

    • 🟒 Lumbar (A/PROM, LE Neuro Screen, Special Tests, Joint Mobility)

    • πŸ”΅ Hip / Knee (A/PROM, LE MMT, Special Tests, Joint Mobility)

    • 🟣 Foot / Ankle (A/PROM, LE MMT, Special Tests, Joint Mobility)

    • πŸšΆβ€β™‚οΈ Gait / Balance (Static & Dynamic Balance, Gait Speed, Functional Mobility)

    • 🟑 Assessment Statement generator (based on ICF model)

    • 🟠 Progress Statement generator (# of visits, treatment components, progress, adherence, plan)

    • 🟣 Treatment Plan (frequency, duration, progressions)

    • βšͺ Patient Education (generalized statements with comments)

    • 🟑 Therapeutic Activities (type, sets, reps/duration, comments)

    • 🟒 Therapeutic Exercise (type, sets, reps/duration, comments)

    • πŸ”΄ Manual Therapy (type, sets, reps/duration, comments)

    • 🟣 Neuro-muscular Re-education (type, sets, reps/duration, comments)

    • βž• Other Modalities (hot pack, cold pack, TENS)

 

πŸŸ₯ Subjective

Try this section for free here.

 

πŸ”΄ Symptom Behavior

  • Severity, Irritability, Nature, Stage (SINS)

  • Aggravating & Easing Factors

  • 24-Hr Pattern

  • Red Flag Screening Questions

    🟠 History

  • History of Present Illness

  • Surgical History

  • Social History

  • Medications

  • Imaging

 

🟑 Goals

  • Templated statements for…

    • Home Exercise Program Goal

    • Symptom Goal

    • Functional Goals (2)

    • Objective Goals (2)

🟣 Patient Specific Functional Scale (PSFS)

  • Calculator & Goal Statement Generator

 

🟦 Objective

  • ⚫ Observation (Vitals, posture, UE/LE alignment, gait, palpation)

  • 🟠 Cervical / Thoracic (AROM, UE Neuro Screen, Special Tests, Joint Mobility)

  • πŸ”΄ Shoulder (A/PROM, UE MMT, Special Tests, Joint Mobility)

  • 🟑 Elbow / Wrist / Hand (A/PROM, UE MMT, Special Tests, Joint Mobility)

  • 🟒 Lumbar (A/PROM, LE Neuro Screen, Special Tests, Joint Mobility)

  • πŸ”΅ Hip / Knee (A/PROM, LE MMT, Special Tests, Joint Mobility)

  • 🟣 Foot / Ankle (A/PROM, LE MMT, Special Tests, Joint Mobility)

  • πŸšΆβ€β™‚οΈ Gait / Balance (Static & Dynamic Balance, Gait Speed, Functional Mobility)

 

🟨 Assessment & πŸŸͺ Plan

🟑 Assessment Statement Generator

  • Based on ICF Model

🟠 Progress Statement Generator

  • # of Visits (attended, authorized, and no-show / cancellation)

  • Treatment program components, adherence, and response

  • Recommendations

🟣 Treatment Plan

  • Frequency, Duration, Progressions

 

🟩 Treatment

Try this section for free here.

βšͺ  Patient Education (generalized statements with comments)

🟑 Therapeutic Activities (type, sets, reps/duration, comments)

🟒 Therapeutic Exercise (type, sets, reps/duration, comments)

πŸ”΄ Manual Therapy (type, sets, reps/duration, comments)

🟣 Neuro-muscular Re-education (type, sets, reps/duration, comments)

βž• Other Modalities (hot pack, cold pack, TENS)