Physical Therapist Evaluation Form

A Physical Therapist Evaluation Form is a document completed by a physical therapist once the examination of their patient or client is over. It can be used as the initial assessment of the individual's health, the routine statement to track the therapy progress, or the recommendation for further therapy and treatment if necessary.

Alternate Names:

• Physical Therapy Evaluation Form;
• Physical Evaluation Form;
• Medical Evaluation Form.

A Physical Therapy Evaluation Form template can be found below. It can be altered to suit the needs of the physical therapist in charge of the evaluation; however, traditionally this form contains the personal details of the patient (their name, age, contact information, and physical characteristics), record the medical issue or injury if the therapy is needed as part of ongoing treatment, results of the thorough examination (the therapist must find out whether the patient feels any pain or discomfort during different stages of therapy), pre-existing conditions and chronic illnesses from the patient's medical history, and goals the patient wants to achieve with the help of therapy (a regular patient may want to recover while a professional athlete will strive for better sporting results).

Haven't found the template you're looking for? Take a look at the related templates below:

• Course Evaluation Form;
• Player Evaluation Form;
• Candidate Evaluation Form.