Rehabilitation Progress Report

Purpose: This report is designed to document and evaluate the progress of a patient undergoing physical or occupational therapy. It includes patient demographics, initial assessment, therapy goals, progress tracking, and clinician observations over the course of treatment.

Patient Information

Name: {name}

Date of Birth: {dateOfBirth}

Patient ID: {patientId}

Therapist: {therapistName}

Date of Report: {reportDate}

Initial Assessment Summary

Date of Initial Evaluation: {initialEvaluationDate}

Primary Diagnosis: {diagnosis}

Secondary Conditions (if any): {secondaryConditions}

Description of Limitations or Impairments: {limitations}

Therapy Goals

{#goals}

• {goalDescription} — Target Date: {targetDate}

{/goals}

Therapy Sessions Summary

Functional Improvements

Mobility: {mobilityProgress}

Range of Motion: {rangeOfMotionProgress}

Strength: {strengthProgress}

Activities of Daily Living (ADLs): {adlProgress}

Assistive Devices

{#assistiveDevices}

• {deviceName}: {deviceUsageComments}

{/assistiveDevices}

{^assistiveDevices}No assistive devices used at this time.{/assistiveDevices}

Compliance and Participation

Attendance Rate: {attendanceRate}

Patient Motivation: {motivationLevel}

Home Exercise Compliance: {homeExerciseCompliance}

Recommendations

{#recommendations}

• {recommendationText}

{/recommendations}

Discharge Plan

{#isDischarged}Discharge Date: {dischargeDate}

Discharge Summary: {dischargeSummary}

{^isDischarged}Patient is continuing therapy. Discharge plan not yet determined.{/isDischarged}

Clinician Sign-Off

Clinician Name: {clinicianName}

Credentials: {clinicianCredentials}

Signature Date: {signatureDate}