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SUBJECTIVE
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New Patient Appointment
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Established Patient Appointment
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Positive Response
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What Has Improved?
• • •
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Negative Response
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No Change
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Flare Up
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What Cause Symptoms?
• • •
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Where Is Client's Affected Area?
• • •
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Pain Scale
• • •
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Additional Important Notes About Patient
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OBJECTIVE
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1 Click Notes By Region
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General Massage Therapy Session
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Additional Information About Patient (Dictate)
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Region Specific Treatments
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Cervical / Thoracic Spine
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Choose Which Muscle Groups Were Focused
• • •
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Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
|
Lumbar Spine / Pelvis
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Lumbar Spine / Pelvic Musculature
• • •
|
|
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Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
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Upper Extremity
|
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Upper Extremity Musculature
• • •
|
|
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Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
|
Lower Extremity
|
|
|
Lower Body Musculature
• • •
|
|
|
Treatment Duration For This Region(s)
|
Additional Notes (Dictate)
|
|
|
|
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ASSESSMENT
|
|
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Response To Treatment
• • •
|
|
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Progress Affected By
• • •
|
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Next Patient Visit
• • •
|
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Homecare Recommendations
• • •
|
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PLAN
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TYPE OF MASSAGE PERFORMED
|
|
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Sports Massage
|
Swedish Massage
|
|
Neuromuscular Massage
|
Prenatal Massage
|
|
Myofascial Release Treatment
|
Abdominal Massage
|
|
Lymphatic Massage
|
Post Surgical Massage
|
|
SPECIFIC TECHNIQUES USED
|
|
|
Deep Tissue
|
Cross-Fiber Massage
|
|
TMJ Dysfunction Massage
|
Trigger Point Therapy
|
|
Contract/Relax
|
IASTM
|
|
Kinesiology Tape
• • •
|
|
|
|
|
|
ADD-ONS
|
|
|
Cupping
|
CBD ADD ON
|
