Postural Restoration Therapy Intake Form

Transform Your Postural Health with This Virtual Therapy Intake Form

Postural Restoration Therapy (PRT) practitioners, physical therapists, and wellness professionals need a streamlined way to gather comprehensive client information before virtual sessions. This Postural Restoration Therapy Intake Form template is designed specifically for telehealth environments, making it easy to collect detailed postural assessments, asymmetry photos, breathing evaluations, and performance goals—all before your first video consultation.

Why This Template Works for Telehealth Practitioners

Virtual healthcare has changed how bodywork professionals connect with clients, but effective postural therapy still requires detailed visual and functional assessments. This form bridges that gap by:

• Capturing high-quality asymmetry assessment photos directly from clients' devices, eliminating email back-and-forth
• Evaluating breathing patterns through structured questions that reveal dysfunction before your session
• Documenting consent for training programs with built-in liability protection
• Identifying specific performance goals whether athletic, pain relief, or daily function improvement

For PRT specialists, chiropractors offering postural correction, personal trainers focused on movement quality, and sports medicine professionals, this template creates a professional first impression while gathering the clinical information you need to design effective treatment protocols.

Streamline Your Intake Process

Rather than piecing together Google Forms, email attachments, and manual consent documents, this single Paperform handles everything. The form uses conditional logic to reveal relevant questions based on client responses, keeping the experience clean and focused. When clients submit, you'll receive organized data with attached photos—ready to review before your scheduled telehealth appointment.

Automate your workflow with Stepper: Once a client completes this intake, you can use Stepper to automatically create calendar events, send pre-session preparation emails, update your CRM, or trigger follow-up sequences based on specific conditions they've reported. This means less administrative work and more time focused on treatment.

Customizable for Your Practice

Every practitioner has their own assessment protocols and terminology. This template includes standard PRT evaluation areas—pelvic positioning, ribcage orientation, breathing mechanics, and compensatory patterns—but you can easily customize questions to match your specific methodology. Add your branding, adjust terminology for your client base, and modify photo requirements to suit your assessment process.

Whether you're running a busy telehealth practice, launching virtual coaching services, or expanding your in-person therapy practice online, this intake form helps you maintain professional standards while embracing the flexibility of remote healthcare delivery.