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Physical Therapy Evaluation Form Template

Physical Therapy Evaluation Form Template

Easily collect data during appointments and track patient progress with this customizable template.

Simplify your workflows

Efficiently collecting and managing patient health data during therapy is critical to successful treatment. But the usual method of using paper forms is tedious and rife with error. This online physical therapy evaluation template can help you keep accurate records of a patient’s progress during therapy. No pens or clipboards needed. Sections for medical information and therapy notes have been included so you can collect all the data you need during appointments.

Customize your template

This physical therapy evaluation form is flexible, easy to customize, and our drag-and-drop form builder does not require any special coding or technical knowledge. Add your organization's branding and tweak fonts, buttons, and messaging. Use Conditional Logic to dynamically show or hide sections based on how different questions are answered during the appointment.

Collect information anywhere

This physical therapy evaluation form is mobile-friendly and looks great on any device. Care providers and staff can fill it out on their laptop, phone, or tablet no matter where they’re located. No paper, pens, or clipboards required. Easily collect information on the go, including in patient homes if an internet connection is available.


Simplify your data workflow

Ensure all staff members have the information they need by using this form to create a seamless digital workflow. Paired with the Workflows tool, this form can be reviewed, edited, and commented on by multiple team members. Simplify your process, and improve collaboration between departments. You can even use form data to auto-populate custom documents to send to your CRM.

Protect information with HIPAA

Pair this physical therapy evaluation template with Formstack’s HIPAA compliant solution to safely collect, store, and export healthcare information on any device. Advanced data encryption, user-level permissions, audit logging, and regular security maintenance are included to help you meet HIPAA standards and protect the data patients share with you.

Using Formstack reduces failure when bringing in new patients. It increases efficiency and cuts down on data entry for both patients and staff.
Dr. Chris Bojrab
President of Indiana Health Group

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