What is an Evaluation?
An evaluation is a process wherein the physical therapist makes clinical judgments based on data gathered during an examination. The examination includes taking a comprehensive history, performing a review of systems, and conducting tests and measures. Tests and measures may include but are not limited to tests of range of motion, function/motor, muscle performance, joint integrity, neuromuscular status, and review of orthotic/prosthetic devices. The physical therapist will evaluate the examination findings, establish a physical therapy diagnosis, determine the prognosis, and develop a plan of care that includes the anticipated goals and expected outcomes, interventions to be used, and anticipated discharge plans.
If a patient has been discharged from care for any reason or has not been treated within 30 days of the last treatment, a new evaluation will be performed should the patient return to the clinic.
A re-evaluation is a process wherein the physical therapist re-examines the patient to evaluate progress and to modify or redirect intervention and/or revise goals and expected outcomes. Re-examination may be indicated more than once during a plan of care. Tests and measures include but are not limited to those performed in an evaluation. The physical therapist will modify/update the plan of care as is indicated and suppot medical necessity of skilled intervention.
If a patient has been discharged from care for any reason or has not been treated within 30 days of the last treatment, a new evaluation will be performed should the patient return to the clinic.
A re-evaluation is a process wherein the physical therapist re-examines the patient to evaluate progress and to modify or redirect intervention and/or revise goals and expected outcomes. Re-examination may be indicated more than once during a plan of care. Tests and measures include but are not limited to those performed in an evaluation. The physical therapist will modify/update the plan of care as is indicated and suppot medical necessity of skilled intervention.
What Do I Bring?
For your initial evaluation, you should bring the following:
Wear comfortable clothes that allow access to the body part being treated and tennis shoes.
- Filled out paperwork (or come in early at fill it out at the clinic!) found in the "Evaluations Forms" sections below
- Photo ID
- Insurance Card(s)
- Physician Referral
Wear comfortable clothes that allow access to the body part being treated and tennis shoes.
Evaluation Forms
Please print and complete the "Demographics," "Cancellation/No Show Policy," "Treatment Authorization," "Health Info," and one standardized test and bring them to your evaluation.
Demographics |
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Cancellation/No Show Policy |
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Treatment Authorization |
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Health Info |
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Standardized Tests
The following forms are specific for your diagnosis or reason for coming to physical therapy. You only need to complete the form that applies to your diagnosis. For example, if you are coming in for a knee replacement, you only need to fill out the KOOS, JR form. These diagnostic specific forms are in addition to the four forms above. If you have any questions about which forms you need to fill out, please don't hesitate to call us at (907) 743-3333. You are always more than welcome to come to your appointment 20-30 minutes before your evaluation and fill the paperwork out in our office.
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Dizzy/Balance
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Dizziness Handicap Inventory (DHI)
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Neck
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Neck Disability Index (NDI)
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Shoulder, Arm, Wrist, Hand
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Upper Extremity Functional Scale (UEFS)
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Back Pain
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Oswestry Disability Index (ODI) aka Oswestry Low-Back Assessment
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Hip, Thigh, Knee, Ankle, Foot
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Lower Extremity Functional Scale (LEFS)
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Hip/Hip Joint Replacement
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HOOS, JR
(Hip Osteoarthritis Outcome Score, Joint Replacement)
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Knee/Knee Joint Replacement
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KOOS, JR
(Knee Osteoarthritis Outcome Score, Joint Replacement)
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