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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.

Free and paid templates coming soon! Get notified via email below.

 
 

Free & Paid Templates

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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

 

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

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)

 
 

Get notified when templates go live!