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Consents For Treatment
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Are All Consents Signed
|
|
Expectations & Rights
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Massage Therapy Consent
|
|
|
|
|
Preformatted Notes
|
Full Body Diagram
|
|
General Spinal Therapy | 60 Minutes
|
General Spinal Therapy | 90 Minutes
|
|
Additional Information About Patient (Dictate)
|
|
|
|
|
|
OBJECTIVE FINDINGS / TREATMENT PROCEDURES
|
|
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Cervical / Thoracic Spine
|
C/s Posterior
|
|
Neck Musculature
• • •
|
Adhesions/Trigger Points
• • •
|
|
Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
|
|
|
|
Lumbar Spine / Pelvis
|
L/s Pelvic Muscle Diagram
|
|
Lumbar Spine / Pelvic Musculature
• • •
|
Adhesions | Trigger Points
• • •
|
|
Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
|
|
|
|
Upper Extremity
|
Muscle Diagram
|
|
Upper Extremity Musculature
• • •
|
TrPs:
• • •
|
|
Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
|
|
|
|
Lower Extremity
|
Muscle Diagram
|
|
Lower Body Musculature
• • •
|
Adhesions/Trigger Points
• • •
|
|
Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
|
|
|
|
Assessment: Post Treatment
|
|
|
Response To Treatment
• • •
|
Next Patient Visit
• • •
|
|
Progress Affected By
• • •
|
Homecare Recommendations
• • •
|
|
|
|
|
Plan
|
|
|
Treatment Techniques
|
|
|
Cupping
|
Deep Tissue
|
|
Myofascial Release Treatment
|
Trigger Point Therapy
|
|
Cross-Fiber Massage
|
Contract/Relax
|
|
Kinesiology Tape
• • •
|
|
|
|
|
|
Types Of Massage
|
|
|
Post Surgical Massage
|
Lymphatic Massage Technique
|
|
Sports Massage
|
Swedish Massage
|
|
Neuromuscular Massage
|
Prenatal Massage
|
|
Myofascial Release Treatment
|
Abdominal Massage
|
|
|
TMJ Dysfunction Massage
|
|
|
|
|
Referrals
|
|
|
Chiropractic Care
|
Acupuncture
|
|
Physical Therapy
|
Medical Doctor
|
|
Pilates
|
|
