|
Subjective: HPI:
|
Patient questions or concerns
|
|
Pain Rating
/
|
Pain Location:
|
|
Updated Health Information
|
Updated Medication
|
|
General Comments
|
|
|
|
|
|
Objective: Review of HEP:
|
Current ROM Assessment:
|
|
Current Strength Assessment
|
Current Endurance Assessment:
|
|
Special Testing
|
Limitations from Pain
|
|
Exercises Completed
|
Physical Therapy Treatments
|
|
Modalities
|
General Comments
|
|
|
|
|
Assessment: Summary of progress:
|
Strengths
|
|
Concerns:
|
Updated or Additional Goals:
|
|
General Comments
|
|
|
|
|
|
Plan: Continue/Discontinue Physical Therapy:
|
Frequency
|
|
Duration
|
Future Treatments:
|
|
Total Time Spent:
|
|
