Home
Forms Library
Physical therapy plan of care template

Physical therapy plan of care template 2025

physical therapy plan of care template Preview on Page 1

See details

4 out of 5

30 votes

The document is a Physical Therapy Treatment Plan from Landmark Healthcare, Inc., detailing patient information, type of care, injury or illness details, clinical findings, treatment goals, and a proposed treatment plan. It includes sections for range of motion assessments, pain scales, functional limitations, and anticipated outcomes for physical therapy.

Here's how it works

01. Edit your physical therapy plan of care template online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send physical therapy plan of care example via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out physical therapy plan of care template with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the physical therapy plan of care template in the editor.
Begin by entering the 'Date of Submission' at the top of the form. This helps track when the treatment plan was created.
Fill in patient details including 'Last Name', 'First Name', 'M.I.', and 'Insured I.D. or SSN'. Ensure accuracy for insurance processing.
Select the type of care: either 'Initial care' or 'Continuing care'. This distinction is crucial for treatment documentation.
Complete sections on patient demographics, including address, date of birth, and contact information. This ensures effective communication.
Document injury details by checking relevant boxes (Work, Auto, Other) and provide a description if necessary.
In the 'Objective Findings' section, record range of motion measurements and clinical findings to guide treatment decisions.
Outline treatment goals and plans clearly in the designated sections to set expectations for recovery.

Start using our platform today to streamline your document editing and enhance your workflow!

See more physical therapy plan of care template versions

We've got more versions of the physical therapy plan of care template form. Select the right physical therapy plan of care template version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2015	4 Satisfied (30 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to write a physiotherapy treatment plan?

Assessment and Evaluation Initial assessment of the patients condition. Objective evaluation of functional limitations. Subjective evaluation of patient goals and expectations. Collaborative goal setting with the patient. Specific, measurable, achievable, relevant, and time-bound (SMART) goals.

How to write a plan of care for physical therapy?

ing to the APTA, these plans should include at minimum: (1) diagnoses; (2) long-term treatment goals; and (3) type, amount, and duration of therapy services. But, you may also want to include short term goals and discharge plans to make the plan more meaningful to the patient as well as the providers.

What are the 4 primary goals of a physical therapists treatment plan?

Behind these applications lie the four main goals of physical therapy. 1). Optimal Function, Mobility, and Body Movement. 2). Long-lasting Pain Relief. 3). Prevention of Future Injuries. 4). Improved Quality of Life.

How to write a plan of care?

The plan should include important information about the person receiving care, including their: Name, date of birth, and contact information. Health condition(s). Medicines, dosages, and when/how they are given. Health care providers with contact information. Health insurance information. Emergency contacts.

How long is a physical therapy plan of care?

Initial Certification of the Plan of Care The physicians/NPPs signature and date on a correctly written POC (with or without an order) satisfies the certification requirement for the duration of the POC or 90 calendar days from the date of the initial treatment, whichever is less.

physical therapy schedule template

Free physical therapy documentation templates Skilled physical therapy documentation examples Physical therapy documentation examples PDF Physical Therapy evaluation template PDF PT documentation cheat sheet Physical therapy evaluation template word doc Home health physical Therapy documentation examples Physical therapy documentation phrases