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Physical Therapy Initial Evaluation Form
About this free form template

Starting physical therapy requires thorough documentation of a patient's baseline condition, mobility limitations, and treatment objectives. This Physical Therapy Initial Evaluation Form streamlines new patient intake for PT clinics, outpatient rehabilitation centers, sports medicine practices, and wellness facilities.

The form captures essential medical history, current symptoms, functional limitations, and pain levels through validated assessment tools. Physical therapists can document range of motion, strength deficits, gait patterns, and activities of daily living (ADL) limitations—establishing a clear baseline for measuring progress throughout treatment.

Paperform makes physical therapy intake efficient and patient-centered. The clean, professional design works seamlessly on tablets in-clinic or can be sent to patients ahead of their first appointment, reducing wait times and improving care quality. Conditional logic reveals follow-up questions based on injury type or pain location, ensuring you collect relevant clinical details without overwhelming patients.

Connect this form to your practice management system or EHR through Stepper (stepper.io) to automatically create patient charts, schedule follow-up appointments, and trigger insurance verification workflows. For clinics requiring signed consent forms or treatment agreements, Papersign (papersign.com) enables secure eSignatures linked directly to the patient's intake submission.

Built with SOC 2 Type II compliance and data residency controls, Paperform helps physical therapy practices maintain professional standards while delivering an excellent patient experience from day one.

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