|
Time
|
Chief Complaint
|
|
Diagram
|
CC Notes
|
|
Progress
|
Intensity
|
|
Easy Treatment Gains Button
|
Frequency
|
|
Duration
|
ADL
• • •
|
|
Aggravating Factors
• • •
|
Aggravating Factors Notes
|
|
Relieving Factors
• • •
|
Relieving Factors Notes
|
|
Tx Gains
• • •
|
Regression
• • •
|
|
% Improvement
• • •
|
New Complaint
|
|
|
No New Complaints
|
|
OBJECTIVE
|
|
|
Communication
|
Neurological
|
|
Integumentary
|
|
|
STM
• • •
|
IASTM
• • •
|
|
Easy STM Button
• • •
|
ASTM
• • •
|
|
Thoracic mobs
• • •
|
Cervical Mobs
• • •
|
|
Shoulder mobs
• • •
|
Lumbar
• • •
|
|
Knee mobs
• • •
|
Hip Mobs
• • •
|
|
Other Manual
|
Ankle mobs
• • •
|
|
Exercises
|
Dry Needling
• • •
|
|
Modalities
|
Static Stretching
• • •
|
|
Nerve Glides
• • •
|
KT
• • •
|
|
|
|
|
Assessment Notes
|
Easy Assessment
|
|
Patient Response to Tx
|
Exacerbation of Symptoms
|
|
Treatment Gains
• • •
|
Treatment Progress
• • •
|
|
Treatment Challenges
• • •
|
Treatment Gains Notes
|
|
Continued Care Warranted
|
Treatment Challenges Notes
|
|
Post Treatment Response
|
|
|
|
|
|
Post Tx Notes
|
Plan
• • •
|
|
Cont POC
|
|
