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Run: PT Progress Note and Reassessment at 10 Treatment Days

A physical therapy progress note and reassessment template for documenting objective measures, goal status, and skilled justification at least every 10 treat...

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Therapist and Visit Details

Licensed Therapist Name (required)

License Type (required)

Date of Reassessment (required)

Treatment Day Number (required)

Enter the current treatment day count. This progress note is due at least once every 10 treatment days.

Patient Identifier (required)

Use the minimum necessary identifier used by your organization, such as MRN or chart number. Do not enter SSN.

Reassessment Reason and Current Status

Reason for Reassessment (required)

Current Status Summary (required)

Summarize the patient's current functional status, tolerance to treatment, and any relevant changes since the last report.

Has the patient's status changed since the last progress note? (required)

Describe Status Change (required)

Objective Measures and Goal Status

Primary Objective Measure Type (required)

Objective Measure Value (required)

Enter the measured result using the appropriate unit or scale, such as degrees, MMT grade, distance, time, or pain score.

Overall Goal Status (required)

Progress Toward Goals (required)

Describe progress toward each relevant goal and note any barriers, plateau, or regression.

Are goal modifications needed? (required)

Describe Goal Modifications (required)

Skilled Justification and Plan

Skilled Justification for Continued Therapy (required)

Explain why skilled therapy remains necessary and why the services cannot be safely or effectively performed by unskilled personnel.

Progression to Next Level of Care (required)

Plan of Care Updates

Document any changes to frequency, duration, interventions, precautions, or home program.

Next Review Date

Therapist Attestation

Attestation (required)

Yes No N/A

Therapist Signature (required)

Signature Date (required)

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