Physical Therapy Progress Note Template
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Patient Name:
Date / Time:
Visit Number:

Subjective:
- Patient Report:
- Pain Level (Pre/Post):
- Compliance with Home Program:

Objective:
- Therapeutic Exercises:
- Manual Therapy:
- Modalities:
- Functional Measurements:

Assessment:
- Response to Treatment:
- Progress Toward Goals:
- Barriers/Limitations:

Plan:
- Next Session Interventions:
- Home Exercise Updates:
- Recommendations/Referrals:

Therapist Signature & Credentials
Date / Time