Session Notes Template for Rehabilitation & Corrective Exercise Coaches

Use in FirstRep form

Client Information

Collect essential details about the client's background and injury history.

Aa Client Name *

Enter client's full name

D Date of Birth *

Select date of birth

... Injury/Surgery Details *

Describe the injury or surgery

... Current Medications

List any medications client is taking

Assessment Findings

Document the results from the initial assessment of the client's condition.

1-10 Pain Level (1-10) *

Rate current pain level

Aa Range of Motion *

Specify range of motion limitations

... Functional Limitations *

Describe any functional limitations

Goals and Objectives

Establish clear goals and objectives for the rehabilitation process.

... Short-term Goals *

List 2-3 short-term rehabilitation goals

... Long-term Goals *

List long-term rehabilitation goals

Session Plan

Outline the activities and exercises for each session.

D Date of Session *

Select the session date

... Warm-up Activities *

Describe warm-up exercises

... Main Exercises *

List main exercises planned for session

... Cool-down Activities *

Describe cool-down exercises

Progress Tracking

Record progress and any changes in condition after each session.

1-10 Pain Level After Session (1-10) *

Rate pain level after session

... Improvements Noted *

Describe any improvements observed

... Adjustments Needed *

Note any adjustments to the plan

Communication with Healthcare Providers

Document any communication with the client's healthcare providers.

Aa PT/Doctor Contacted *

Name of PT or doctor contacted

D Date of Communication *

Select date of communication

... Summary of Communication *

Summarize the communication details

Why Use This Template

Structured Documentation

Helps maintain clear and organized records for each client.

Improved Communication

Facilitates effective communication with healthcare providers.

How to Use

Fill out client information before the first session.

Use the assessment findings to guide session planning.

Customization Tips

Tailor the session plan based on the client's specific needs.
Use consistent language when documenting to ensure clarity.
Incorporate visual aids as needed for exercises and goals.

Build and send rehabilitation & corrective exercise templates digitally with FirstRep. Free for up to 3 clients.

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Frequently Asked Questions

How often should I update session notes?

Session notes should be updated after every session to track progress accurately.

Can I share this template with my team?

Yes, feel free to share the template with your coaching team for consistency.