Therapeutic Ultrasound Treatment Parameters Log

This template records the clinical details of a therapeutic ultrasound session, including the treated body area, indication, parameters, safety screening, and immediate response. It is designed to support CPT 97035 documentation and create a clear treatment record. Use it when you need a repeatable log for each session rather than a narrative note alone.

A licensed clinician or supervised staff member who actually delivered or directly observed the treatment should complete it. The person entering the record should be able to confirm the ultrasound settings, the screening performed, and the patient’s tolerance. If your workflow allows delegation, keep the final review and sign-off with the responsible clinician.

Use it for every therapeutic ultrasound treatment session, not just the first visit. Repeating the same fields each time helps show that the treatment was delivered consistently and safely. If your clinic uses a broader progress note, this log can sit inside that workflow as the session-level documentation.

Record the frequency, intensity, duration, mode, duty cycle, and sound head movement exactly as used during treatment. These fields matter because they show how the modality was applied and whether the settings match the intended clinical goal. Avoid vague entries like 'standard settings' because they do not support audit trail quality or later review.

Yes. The pre-treatment safety section captures whether sensory testing was performed, what the result was, and whether contraindications were screened. That makes it easier to show that the clinician checked for reduced sensation or other issues before treatment. If a concern is found, the details field should explain what was identified and how it affected the session.

Yes. You can add conditional logic for body region, diagnosis, or clinic-specific protocols without changing the core documentation fields. Many clinics also add optional fields for laterality, treatment position, or device model if those details are part of their internal audit trail. Keep the form focused on what you actually use.

Common mistakes include leaving out the exact settings, skipping sensory testing documentation, and using free-text notes where structured fields would be clearer. Another issue is documenting the treatment goal too broadly, which makes it harder to connect the session to the clinical indication. The form works best when each field is completed with specific, observable information.

An ad-hoc note can miss key details or vary from clinician to clinician, which makes review and billing support harder. This template standardizes the session record so the same safety and parameter fields appear every time. That consistency helps with chart quality, internal review, and handoff between providers.