Home Health PT Narrative Builder

Patient Status

Pain Assessment
0/10
No Pain Mild Moderate Severe Worst
Subjective Reports
Motivation & Compliance

Functional Mobility

Bed Mobility
Transfers
Assistance Level
Functional Mobility Analysis (Skilled Intervention)

Gait & Balance

0 ft
Household Community
N/A
Not Tested High Fall Risk
N/A
0 m/s 2.0 m/s
Assistive Device
Gait Characteristics
Gait Analysis: Musculoskeletal (Skilled Intervention)
Gait Analysis: Neurological (Skilled Intervention)
Balance & Safety
Stairs
N/A
None Full Flight
N/A
None 5x

Therapeutic Exercises

Dosage
1
1 5
10
5 30
Bed Exercises (Supine) - Lower Extremity
Bed Exercises - Upper Extremity
None
None 5 lb
Sitting Exercises - Lower Extremity
Sitting Exercises - Upper Extremity
None
None 5 lb
Standing Exercises - Lower Extremity
Support Level

Skilled Intervention

Patient Education Provided
Skilled Techniques Used

Assessment & Plan

Progress Toward Goals
Safety & Risk Factors
Plan of Care

Additional Clinical Details

Note

Make selections above to generate your clinical narrative...

About PT Narrative Builder

PhysicalTherapy.VIP - Free Clinical Tools

Please scroll down to review the disclaimer and click "I Understand" to begin using this tool.

What is this tool?

The PT Narrative Builder is a free web-based application designed to help home health physical therapists streamline their clinical documentation. By selecting relevant clinical findings and interventions, the tool generates professional, narrative-style documentation that can be incorporated into your EMR system.

How to use

  • Make selections across all relevant sections (Patient Status, Mobility, Gait, Exercises, etc.)
  • Watch the clinical note generate in real-time in the Note panel
  • Review the generated narrative for accuracy and completeness
  • Click "Copy Note" to copy the text to your clipboard
  • Paste into your EMR or documentation system
  • Customize as needed for your specific patient

Important Disclaimer

USE AT YOUR OWN RISK. This tool is provided as-is for informational and educational purposes only. It is not a substitute for professional clinical judgment, proper patient assessment, or compliance with applicable regulations.

Professional Responsibility: You, as the licensed healthcare professional, are solely responsible for the accuracy, appropriateness, and completeness of all clinical documentation. You must verify that all generated content accurately reflects your clinical findings and meets all applicable standards of care, regulatory requirements, and payer guidelines.

No Warranty: PhysicalTherapy.VIP makes no warranties, express or implied, regarding the accuracy, reliability, or completeness of this tool. We assume no liability for any errors, omissions, or consequences arising from the use or misuse of this application.

No Medical Advice: This tool does not provide medical advice, diagnosis, or treatment recommendations. All clinical decisions must be made by qualified healthcare professionals based on direct patient assessment.

Compliance: Users are responsible for ensuring their documentation practices comply with HIPAA, state practice acts, Medicare guidelines, and all other applicable laws and regulations.

By using this tool, you acknowledge that you have read, understood, and agree to these terms and accept full responsibility for your use of the generated documentation.

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