7 Therapy Note Examples & Samples

7 Therapy Note Examples & Samples


Note offer us a wide variety of information about different topics. Note template can also be used in different fields. Thus notes can be considered as an essential part of every human’s life. In different fields, notes are used for various reasons. Usually, notes are intended to record facts, provide information, and carry messages, among other uses.

There are different kinds of notes, and we might be familiar with some. Here, we are going to know more about notes that are commonly used in the medical field notes.

Speech Therapy Note

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  • PDF

Size: 294 kB

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Physical Therapy

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  • Doc
  • Docx

Size: 375 kB

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Occupational Therapy

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  • PDF

Size: 51 kB

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Massage Note

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  • PDF

Size: 66 kB

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What Is a Therapy Note?

A therapy note, in the broadest sense, is a note or document primarily used to record the details of a patient’s therapy session. Therapy notes in pdf typically contain different information regarding such therapy session, including information about the patient, doctor’s remarks, doctor–patient conversation during the session, and other information relevant to the said therapy session.

It may also contain other information such as goals of the therapy as a whole, and may also be used to record the patient’s progress note.

Purpose of a Therapy Note

Therapy notes, in general, provide information regarding the patient’s therapy session. They may also contain the general information about the patient (which may include the patient’s medical history), made available to the doctor conducting the therapy.

The doctor may study such information in order to determine the effective treatment plan to improve the patient’s condition. Doctors may also refer to therapy notes of previous therapy sessions to track the patient’s progress. Therapy notes can also be used in noting down the patient’s behavior during the therapy, and the overall observation of the doctor during the whole session.

Simply put, doctors notes provide information which may be used as future reference, especially when monitoring how the patient responds to the procedures conducted during the therapy sessions, and the different factors affecting the patient’s progress and improvement.

Therapy Progress Note

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  • PDF

Size: 47 kB

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Therapy Case

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  • PDF

Size: 50 kB

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How to Write a Therapy Note

Depending on the therapy session, the content included in a therapy note may vary. There is not standard procedure on how to write a therapy note. Still, here are some basic ways of writing one (which may also be used in blank notes in general).

  • Carefully consider the information to include. The information you include may vary on the patient and the session you are doing. Thus you need to properly consider the information you need to include in the therapy schedule note. Several information might be critical for the diagnosis or treatment.
  • Ensure clarity and accuracy of information. In describing patient condition, be sure about that the information you are going to write is accurate. What you write will always matter especially in tracking how the patient’s condition progresses.
  • Write legibly. Other people might use the medical note as reference, so you need to make sure your penmanship is readable enough.
  • Respect the patient’s privacy. Be careful in taking note of sensitive topics or statements from the patient. Naming other persons or other patients in you note can be considered a violation of an individual’s privacy.
  • Keep it short. You can shorten long sentences in a way that summarizes the whole sentence.
  • Review. After writing the note, review the information you included.