Industry kit
Physiotherapy forms and the clinic kit around them
A physiotherapy clinic needs an intake form that captures the injury, a consent step before hands on treatment, a booking path and a way to be found. This kit links finished examples of each, written for invented Australian clinics, including the pilates and massage services many clinics add.
What a physio needs before the first session
A physiotherapist starts every new client with the same questions: what happened, where it hurts, how much, for how long, what makes it better or worse, and whether anything suggests a referral is needed instead. An intake form that collects these before the appointment gives the clinician more time with hands on assessment. It also records the funding source, such as a private health fund, a workers compensation claim or a care plan, which changes how the clinic bills the session and what reports it must send afterwards.
Consent and the rest of the clinic
Physiotherapy involves touch, exercise and sometimes techniques with specific risks, so clinics record informed consent at the start of care. Around the clinical core sit the business pieces: a booking path, a flyer for the local area, a website that lists services and fees, and for clinics that run them, intake forms for clinical pilates and massage. The examples below show each piece complete, so a practice owner can see the questions and the layout before building their own. Start with the intake form, because it is the piece every new client meets first and the one that shapes the whole first appointment.
Who the kit is for
The kit is written for private physiotherapy practices in Australia, from a single practitioner to a multi room clinic with pilates and massage. Physiotherapists are registered with the Physiotherapy Board of Australia, and clinic advertising, including the website and flyer, has to follow the national advertising guidelines for health services, so the examples avoid testimonials about clinical outcomes and promises of results.
The kit, piece by piece
Physio intake form
Physiotherapy intake form built around one injuryMechanism of injury, pain scale, body areas, red flags and funding source, in the order a physio assesses.
Consent signing
Sign a physiotherapy consent form onlineConsent to assessment and treatment, signed online with an email code before the first session.
Physio flyer
Physiotherapy flyer with session prices and the conditions treatedA local clinic flyer with services, health fund information and how to book.
Clinic website
Physiotherapy clinic website example with a pilates timetableA physiotherapy clinic website with a pilates timetable and booking request, written as code.
Pilates intake form
Pilates intake form that asks the postnatal question properlyFor clinical pilates: injury history, goals and experience before a first class.
Massage intake form
Massage intake form that asks about pressure before the tableFor clinics with a remedial massage therapist: areas, pressure and health conditions.
Appointment request form
Appointment request form that reception confirmsA request that reception confirms, for clinics that prefer to triage before booking.
Patient satisfaction survey
Patient satisfaction survey template for an Australian GP clinicA short survey after the first few sessions on booking, explanation and progress.
Pilates intake template
Pilates intake templateA pilates intake template to adapt for a clinic class program.
Questions that save assessment time
The intake form should ask how and when the injury happened, where it hurts using a body area list, pain at rest and with activity on a 0 to 10 scale, what eases or aggravates it, previous episodes and treatment, imaging already done, medications, general health conditions and goals. Add red flag questions, such as unexplained weight loss or numbness, so anything that needs a doctor first is caught before the session. The physiotherapy intake example in this kit groups the questions this way.
Funding changes the paperwork
A session paid by the client and claimed on private health insurance needs only an invoice with the provider number. A workers compensation or motor accident claim needs the claim number and insurer details, and often a treatment plan. A care plan referral from a GP needs the referral details. Ask about funding on the intake form so reception knows which path to follow before the client arrives, and keep the details in one place.
Health information and privacy
Physiotherapy clinics hold health information, so they are covered by the Privacy Act regardless of size. Ask only for what the treatment needs, explain why on the form, and limit who can open the responses. A published form can require login or a secret key. Clients do not receive an email copy of their answers from the form; the clinic receives an alert when a form is submitted and can export responses as a CSV.
The tools behind the kit
Step by step in the builders: Create a form with AI, then Create a conversational form with AI.
Questions people ask
What should a physiotherapy intake form include?
It should include contact and emergency details, how the injury happened, the body areas affected, pain scores, aggravating and easing factors, previous treatment and imaging, medical conditions, medications, red flag screening questions, goals, the funding source and consent to assessment and treatment. Keep the medical questions as yes or no items with space for detail.
Do physiotherapists need written consent?
Informed consent is required before assessment and treatment, and recording it in writing is good practice, especially for techniques with specific risks. A signed consent at the first visit, with the clinician explaining the plan, covers most care. The consent signing example in this kit shows an online version with a certified PDF record.
Can clients complete physio forms before the appointment?
Yes, and it is the main way to save time in the first session. Send the form link with the booking confirmation, ask clients to complete it at least a day before, and have the clinician read it before the client arrives. A conversational form works well on a phone because it asks one question at a time.
Should a physio clinic website list fees?
Listing fees for an initial and a standard consultation helps clients decide and reduces calls to reception. State whether health fund rebates can be claimed on the spot. Clinic websites must follow the national advertising guidelines for health services, which restrict testimonials about clinical aspects and claims of guaranteed results.
Do clinical pilates clients need a separate form?
A separate short intake is common, because pilates classes add goals, experience and equipment notes that a physio intake does not ask. For existing clients, link the pilates form to the existing record. The pilates intake example in this kit is written for a first class.
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