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Physical Therapy Form Library

Physical therapy forms, sorted by who fills them in

One search covers three documents written by three different people, and only two of them should ever be a template. Those two open in an editable builder with a printable PDF ready immediately — no account, no email wall. The third is your clinical work, and this page says so rather than selling you a copy of it.

Start Here

Three documents, three different authors

Almost every wrong turn in PT paperwork starts by treating these as one family. They are not. The question that sorts them instantly is who is holding the pen.

The referring clinician writes the referral

It is an order. Diagnosis, precautions, frequency, duration, signature. It arrives from another practice and it is either complete or it costs your front desk two days of phone calls.

The patient writes the intake

It is an account. What hurts, since when, what has already been tried, what they can no longer lift, climb or sleep on. Written at home with time to think, it is more candid and considerably more useful than the same answers extracted in the first ten minutes of an evaluation.

The therapist writes the evaluation

It is clinical judgement. Measures, tests, interpretation and a plan of care, produced by a licensed therapist with hands on a patient. That one is not a template and never will be here.

The two you can build and print today

Both start from a healthcare-specific preset rather than a blank page, and both are yours to reshape without a developer. Take the PDF as it stands, or spend five minutes making it fit your clinic first.

A default PDF is ready the moment either page loads, and after any edit a fresh one is generated from your version, so what prints is what you built rather than the preset you started from. Both are laid out for US Letter with real writing space. Nothing is gated behind a signup, and nothing is held back to make you create an account.

Deliberately Not Published

The PT forms we hold back, and why

Publishing thin versions of these would be easy and would rank perfectly well. It would also hand a clinic a document that quietly pretends to do clinical work it cannot do.

Physical therapy evaluation form

An evaluation is your clinical work. Objective measures, tests, interpretation and the plan of care that follows are produced by a licensed therapist examining a patient in front of them, and no template can supply any of that. Turning it into a generic downloadable document would produce something that looks like documentation and is not, which is worse than nothing at all.

Physical therapy screening form

Same reason, with an extra one on top. A screening tool implies a threshold and an outcome, and thresholds belong to the clinician and the instrument they have chosen to use, complete with its own administration and licensing rules. We route the administrative half to the intake form instead, and leave the clinical half where it belongs.

Physical therapy consent form

This one is coming, but not until it has been through professional and legal review. Consent wording varies by state, by setting and by the treatments a clinic actually provides, and a consent document written without that review would be the least useful thing on this page. Your attorney should own it in the meantime.

The principle underneath all three: these presets collect and organize information, and your clinicians decide what it means. Nothing here scores a patient, interprets a symptom, produces a finding or writes a plan of care. If you need a document nobody has built yet, the free healthcare form builder starts you from a healthcare structure rather than a blank page, and your attorney and your lead therapist should review whatever comes out of it before it reaches a patient.

A new clinic, one evening in October

A therapist leaving a hospital job to open a two-room outpatient clinic needs paperwork before her first Monday. She starts with the new patient packet, makes the referring provider and authorized visit count required fields — the two details her old front desk chased by phone every single day — and adds one question asking the patient to name the single activity they most want back. She deletes a work-status section she will not use.

Then the referral form. She adds her own letterhead, prints a pad of fifty, and drops them at the two physician offices that have promised to send her patients. The precautions box is marked clinician-only, so nobody at a front desk fills it in from memory.

For consent she goes to her attorney, and for evaluation documentation she uses her own clinical templates, because neither of those is something to download from a website. Two documents built in an evening, nothing paid, no account created. Six weeks later, tired of retyping answers off a clipboard, she sends the intake packet out ahead of the appointment instead.

Straight Answers

Before you download anything

What is DocRepute?

DocRepute is patient experience software for independent US healthcare practices, connecting digital patient intake, patient surveys and neutral Google review requests in one workflow. It is in early access ahead of launch. These physical therapy form templates are the free front door to it — each opens in a builder you can use straight away, with no account and no email wall.

Which physical therapy form and which workflow should I use?

On forms, choose by who is holding the pen. If the patient is filling it in before an initial evaluation, that is the new patient packet. If a physician, surgeon or nurse practitioner is sending someone to you — or you are sending a patient out — that is the referral form. If a therapist is filling it in during an examination, that is your own documentation rather than a template, and it is not published here. Records requests run on the general HIPAA release form, because the authorization requirements are federal and do not change because the record is a therapy note. On workflow rather than form: digital patient intake sends these documents out ahead of the appointment so they come back complete and legible, patient surveys follow up afterwards to find out how the episode of care actually felt, and neutral review requests handle the public side with identical eligibility for every patient.

Which features are current, planned, or unsupported?

The two builders listed here work today: edit the template, download the PDF, no account, no charge. Sending forms to patients and collecting structured responses is DocRepute digital patient intake, part of the planned core along with patient surveys and neutral review requests. AI intake and conversational surveys are paid capabilities and also planned. Evaluation, screening and consent templates are deliberately not published, for the reasons above. Scheduling, billing, clinical documentation and EHR replacement are not offered at all — DocRepute sits in front of whatever you already use for notes and claims rather than trying to replace it.

How does the free-to-start access model work?

Editing any template on this page and downloading its PDF is free, with no account and no credit involved. If you go on to use DocRepute for patient intake, the free plan includes 50 action credits each month, and a credit is only used when a patient completes a regular intake submission or a standard survey. Creating, editing and publishing your forms and surveys never uses one. Paid plans add the AI capabilities; the free tier has no AI.

What can DocRepute honestly claim about HIPAA at this stage?

That it is HIPAA-focused, built for HIPAA-compliant workflows, and designed for HIPAA-regulated patient intake, with BAA availability planned at launch. What no one should claim — us included — is that a product is HIPAA certified, one hundred percent compliant, or that using it makes a clinic compliant. Compliance depends on how your clinic stores, transmits and controls access to completed forms, and on the agreements you have in place. Downloading a template changes none of that; it is a starting point for a document, not a compliance programme.

Start with the new patient packet or the referral form. Also useful: the HIPAA release form for records requests, the full template library for everything else, and digital patient intake when the clipboard stops being worth it. Running an outpatient clinic? See the full physiotherapy workflow.