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Physical Therapy Progress Note
Our Physical Therapy Department likes to use the attached Physical Therapy Progress Note to inform patients of their progress towards their physical therapy goals. At the end of each session give your patient a note with an encouraging message that will inspire them until they return for their next physical therapy session.

Free Sample Template
Format: Word PDF
# of Pages: 1
Printable: Yes

Physical Therapy Progress Note TemplateForm 3979
Format: Word PDF
Category: Occupation, Miscellaneous
Type: Progress Note

Physical Therapy Progress Note

Provider Information :

Name: _____________________________________

Medicaid Number: #__________________________

Therapist Name: _____________________________

Date of Service: ___/___/_____

Start Time: ___:___ AM / PM

End Time: ___:___ AM / PM

Type of Service: ______________________________

Service Setting: _______________________________

Patient Information :

Name: _______________________________________

Medicaid Number: _____________________________

Progress Note:

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

Signature: ___________________________________________________________________ Date: ___/___/_____