Physical Therapy Specialty Forms
Healthie’s Forms Library is designed to be customizable to your practice, specialty, and client base. Apart from our general library of forms, we also have assessment and practice forms specifically designed for physical therapy.
These forms are built out and can be ready to use as soon as you need them - either to complete as a practitioner, or to share with a patient for electronic completion.Leverage these PT specific forms to build treatment programs and set functional goals individualized to their patients current condition.
Healthie also offers the ability for our team to build your existing forms for you; if you'd like us to help you with this, please e-mail hello@gethealthie.com with your forms attached.
Healthie Forms Available for Physical Therapists
- PT Assessment & Charting Forms
- Outcome Measure Forms (Free)
- Outcome Measure Forms (For a Fee)
- General Healthie Forms
PT Assessment & Charting Forms
- Physical Therapy Intake
- Daily Physical Therapy Note
- Physical Therapy Progress Note
- Body Template
- Physical Therapy Discharge
Outcome Measures Forms (Free)
Outcome measures are standardized forms that are designed to measure the current condition of your patients. These tools are meant to give an objective look into how your patient's condition is affecting different parts of their everyday life.
Lower Extremity Functional Scale (LEFS):
A questionnaire that assesses the current functional limitations of patients with diagnoses affecting their lower extremity.
Oswestry Disability Index (ODI):
A questionnaire that focuses on the impacts that low back/leg pain has on a patient's ability to perform functional activities and the severity of their condition.
NDI: Neck Disability Index (NDI):
A questionnaire that focuses on the impacts that neck pain has on a patient's ability to activities in their daily life and level of disability.
DASH: Disability of the Arm, Shoulder and Hand Questionnaire:
A questionnaire for conditions of the upper extremity, that focus revolves around level of disability and changes in function over time.
Hip Disability and Osteoarthritis Outcome Scale (HOOS):
A questionnaire that measures the impact that a diagnosis involving the hip can have on a patient's ability to perform daily activities, pain levels and quality of life.
*The above outcome measures have been built out based on the versions found on sralabs.org.
Outcome Measure Forms (Possibly For a Fee)
There are outcome measures that have fees associated with them. These are not directly available on our website and will need to be purchased by the provider themself. However, once purchased you can send us a receipt and we can give you access to build out the forms on your Healthie account.
The BERG Balance Scale:
Assesses a patient's static balance and how at risk they are for falls.
Purchase/access this form here.
The Dynamic Gait Index (DGI):
Assesses a patient's dynamic balance, specifically, the effects that external demands have on their balance while walking.
Purchase/access this form here.
Short-Form-12:
A questionnaire that assesses a patient’s quality of life.
Purchase/access this form here.
General Healthie Forms
We have also added additional documentations forms, built out for you so that you do not have to. These forms include templates for collecting client billing information, practice policies & waivers, telehealth consent forms, and much more. Visit the Healthie Forms Library.
Have a form that you would like to see built out in Healthie? Email us hello@gethealthie.com to suggest a standard industry form be added.