Physical Therapy Progress Note

Physical Therapy Progress Note — Form Fields

This healthcare template includes 8 fields. Track patient progress during physical therapy with session-by-session functional and pain assessments. Helps therapists document treatment response and adjust programs. Free to customize and use on ZenBuild.

• Patient Name (text, required)
• Session Date (text, required)
• Current Pain Level (0 = no pain, 10 = worst pain) (number, required)
• Compared to your last session, your pain is: (multiple choice, required) — options: Much better, Somewhat better, About the same, Somewhat worse, Much worse
• Activities completed in this session (select all that apply) (checkboxes, optional) — options: Therapeutic exercises, Manual therapy, Electrical stimulation, Ice/heat therapy, Ultrasound therapy
• How well were you able to perform today's exercises? (rating, required)
• Patient-Reported Functional Goals This Week (long text, optional)
• Therapist Notes (long text, optional)