PT, OT and speech therapy documentation
Record the therapy visit, review the drafted note and sign it. For solo therapists and for home health agencies.
Treat first, note after
Record the session, or dictate in the car. The draft is ready to review before your next visit.
Works with no signal
Review, then sign
Every drafted line is yours to edit. Nothing is signed until you sign it.
Two ways to use it
- Solo therapists
- A SOAP note drafted from the visit, plus visit timer, scheduling, route planning and mileage. iPhone, Android and web, 14 days free.
- Home health agencies
- Therapy visit notes for PT, OT and speech on your agency's forms, reviewed in the same office workspace as nursing.
- Disciplines
- Physical therapy, occupational therapy and speech-language pathology.
- Not yet
- Therapy evaluations aren't in the standard form set yet. Ask us about your agency's forms.
A home health PT note, example
A fictional follow-up visit after knee replacement, in SOAP format. Measurable, tied to goals, and clear about why skilled therapy is still needed.
- Subjective
- Patient reports right knee pain 3/10 at rest and 5/10 on stairs. Has done the home exercise program once a day. No falls since last visit.
- Objective
- Gait with rolling walker, 150 ft on level surface with supervision. Sit to stand from standard chair with minimal assistance, 3 attempts. Right knee flexion 95° active. Timed Up and Go 18 seconds with walker.
- Assessment
- Gait distance up from 100 ft last week; still needs supervision for safety on turns. Sit to stand limited by quadriceps weakness. Continues to need skilled PT for gait and transfer training.
- Plan
- Continue PT 2 times a week. Progress quad strengthening, add step-ups with rail. Reviewed fall precautions; patient repeated them back correctly. Next visit Thursday.
Medicare covers home health therapy when it needs the skills of a therapist; see the Medicare Benefit Policy Manual, chapter 7. For skilled nursing examples, see our narrative note examples.
Therapy documentation questions
Does VisitNote work for physical therapists?
Yes. Solo therapists record the visit and review a drafted SOAP note. Agencies get therapy visit notes for PT, OT and speech on their own forms.
What format are the notes in?
In the solo app, SOAP: subjective, objective, assessment and plan. In an agency, the note follows the agency's own therapy forms.
Can I use it without a signal?
Yes. Record, chart and sign with no signal; everything is sent when the phone is back online.
Does it write therapy evaluations?
Not in the standard form set yet. Therapy visit and progress notes are supported; ask us about your agency's evaluation forms.
How much does it cost for a solo therapist?
A 14-day free trial, then Pro at $149.99 a month or $1,559.88 a year. Agency pricing is on request.
See it with your own notes.
A walkthrough of the phone app and the office workspace, with fictional patients.