Why a template, and why an evidence-based one
Most physios carry a template in their head. The trouble is that a head template drifts: the red flag questions get shorter as the day gets longer, and two physios in the same clinic end up writing two different kinds of note. A written template fixes both. Everybody asks the same screening questions, the note reads the same from one visit to the next, and anyone covering a patient can find what they need.
An evidence-based template goes one step further. The structure comes from the published guidelines, so the note prompts you to screen for serious causes first, record a standard outcome measure, and write a plan the guidelines would recognise. It is a prompt, not a protocol. Your clinical reasoning still decides what happens.
The templates, and what each is built on
- Low back pain assessment: NICE guideline NG59, the Australian Commission on Safety and Quality in Health Care's Low Back Pain Clinical Care Standard, and the STarT Back screening tool for risk.
- Neck pain assessment: the Canadian C-spine rule after trauma, and the Neck Disability Index.
- Shoulder pain assessment: the British Elbow and Shoulder Society pathways, and the SPADI score.
- Knee osteoarthritis assessment: NICE NG226, the OARSI 2019 guideline and the OARSI performance tests. A clinical diagnosis, without routine imaging.
- Ankle sprain assessment: the Ottawa ankle and foot rules first, then the 2018 international ankle sprain guideline.
- Total knee replacement review: NICE NG157, with wound and clot warning signs at the top.
- ACL reconstruction review: the Melbourne ACL Rehabilitation Guide 2.0, with criteria-based phases and the ACL-RSI.
- Falls risk assessment: the World Falls Guidelines 2022 and the CDC's STEADI tests.
- Stroke rehabilitation initial assessment: the Stroke Foundation's Living Clinical Guidelines.
- Home visit note and telehealth consultation: the practical notes for treating away from the clinic.
Every template is on our resources page, where you can read the whole thing before you use it.
Using them in Clinidiary
Open Settings, then Resources library, and press Add to my practice on the ones you want. Each becomes one of your own note templates. When you start a note, pick it from the list and the sections are ready to fill. Your treatment notes save as you type, so nothing is lost if the phone rings.
If you work alone, the same templates are the quickest way to write notes faster without cutting corners. If you see patients at home, pair the assessment with the home visit note and read writing treatment notes between home visits.
Make them yours
These are starting points. Change the wording to how you talk, add the special tests you use, and take out what you never fill in. Two things are worth keeping however much you trim: the serious-cause screening, and an outcome measure you repeat. Those are the parts that protect the patient and show the change.
Guidelines are updated, too. Each template names its sources so you can check you are working from the current version.
Frequently asked questions
Are these physiotherapy note templates free?
Yes. You can read every template on our resources page, and add any of them to Clinidiary in one click.
Do I have to fill in every question?
No. A template is a prompt. Skip what does not apply to the patient in front of you, and change the template so it fits how you work.
Which guideline does each template follow?
Each template's page lists what it is built on, from NICE guidelines to the OARSI recommendations and the Melbourne ACL guide.
Can I change a template after I add it?
Yes. Once added it is your practice's own copy, and changes you make do not affect anyone else.