waiCheckout. Booking and payment for any clinic, in one flow.Set up Checkout
wai
Request a demo
The platform Platform Overview Clinician Workspace Admin Operations Clinic Management Integrations Every Job, One Page Each Inpatient Care
Get started Pricing Request a demo
Your workspace For Clinicians Plans Inpatient Care
Get started Request Access Request a demo
Your health Personal Profile
Get started Set Up Your Profile Find a Clinic
The work Expert Network
Join Apply to Frontier
Learn Learn Hub Webinars Newsletter
Reading Blog Customer Stories Templates
Company Contact Sales

Templates, Clinical notes, Physiotherapy

Physiotherapy procedure note template

A physiotherapy procedure note template that sets out what belongs in each section, ready to adapt to your own clinic. Below it is the same note filled in by the wai scribe from an invented consultation, line by line, for the clinician to read and sign.

Updated . Written by our clinical team, generic by design, with no dosing advice.

01Procedure note

TemplatePhysiotherapy

Patient
[Name]
Date of birth
[Date]
Record number
[Number]
Clinician
[Name, registration number]
Consultation
[Date and time], [in person or video]

Physiotherapy procedure note, treatment session

1Indication

  • The problem being treated and the goal of the session.

2Consent

  • How consent was taken, and the risks, benefits and alternatives discussed.
  • Whether written consent is on the record, with its date.

3Procedure

  • Techniques used and the exercises taught, with sets and repetitions recorded.
  • Consent for any hands-on treatment.

4Findings

  • Response to treatment within the session, with any measurement retested.

5Complications

  • Any complication, or a record that there were none.
  • Anything that did not go to plan, and what was done about it.

6Aftercare and follow-up

  • Aftercare advice given, verbally and in writing.
  • Follow-up arranged, and what should prompt the patient to get in touch sooner.

Draft

[Clinician name]

[Role], [registration number]

Signed [date], [time]

How the wai scribe fills it

The same note, written from an invented consultation.

Each line links to the moment in the transcript it came from, and the clinician reads, corrects and signs the note before it is filed.

01Procedure note

SignedAI-assisted, edited by the clinician

Patient
Invented patient, for illustration
Clinician
[Clinician name]
Consultation
In person

Physiotherapy procedure note

1Indication

  • Right patellar tendinopathy, session three. Goal is to progress loading.00:45

2Consent

Completed by the clinician from the record.

3Procedure

  • Progressive loading exercises taught, three sets of fifteen, recorded in the programme.03:30

4Findings

  • Single leg squat pain reduced within the session.07:15

5Complications

Completed by the clinician from the record.

6Aftercare and follow-up

  • Continue programme. Graded return to running. Review in one week.08:10

Signed and filed

[Clinician name]

[Role], [registration number]

Signed [date], [time]

Questions

What goes in a physiotherapy procedure note?

Indication, Consent, Procedure, Findings, Complications and Aftercare and follow-up. Each section on this page lists what belongs in it, written for physiotherapy.

Is the worked example a real patient?

No. The consultation is invented for this page, and no real patient or record is used.

Does the scribe sign the note?

No. The scribe drafts the note from the consultation, and the clinician reads, corrects and signs it, with the time and the change from the draft kept on the record.

Can we use our own note structure?

Yes. Your clinic's own sections are set up once, and the scribe writes each consultation into them.

The procedure note in other specialties

All clinical notes
  1. Private GPPrivate GP procedure note
  2. DermatologyDermatology procedure note
  3. AestheticsAesthetics procedure note
  4. FertilityFertility procedure note
  5. Mental healthMental health procedure note
  6. DentalDental procedure note
  7. Longevity medicineLongevity medicine procedure note

Further reading

  1. ProductThe AI medical scribe for clinics
  2. Read nextWho signs an AI clinical note, and how to review it
  3. Read nextSOAP and specialty note templates for an AI scribe
  4. RegulatorThe CQC compliance hub

Come back to the note, written and ready to sign.

See the wai scribe write a physiotherapy procedure note on your own structure, in a 15 minute video call.

Request a demoEmail us