Clinical Case Note Features Built for Remedial Massage
Assess. Treat. Record. Reassess.
Assess Treat Record brings assessment, treatment, documentation, reassessment, aftercare and treatment planning together in one structured clinical workflow.
Available Now
Clinical documentation tools already available within Assess Treat Record to support the remedial massage consultation from assessment through to treatment planning.
Client Records
Keep consultations connected to the individual client's clinical record and treatment history.
Subjective Assessment
Record the client's presenting complaint, symptoms and relevant consultation information.
Structured Objective Assessment
Select assessments relevant to the individual consultation rather than relying entirely on blank free-text case notes.
Postural Assessment
Record relevant postural observations as part of the objective examination.
Range of Motion Assessment
Record relevant cervical, shoulder and other range-of-motion assessments.
Special Tests
Record relevant special-test findings within the clinical assessment.
Muscle and Muscle-Group Selection
Select relevant muscle groups and individual muscles as part of the clinical treatment workflow.
Treatment Recording
Document areas treated, muscles addressed and treatment techniques used.
Evaluation and Reassessment
Record the client's response following treatment and relevant changes identified during reassessment.
Aftercare
Record relevant advice, stretches, exercises and aftercare provided.
Treatment Planning
Document what requires further review, assessment or treatment at a future consultation.
Speech-to-Text
Use speech-to-text within relevant parts of the clinical documentation workflow to reduce unnecessary manual typing.
Coming Soon to Assess Treat Record
We're continuing to develop Assess Treat Record around the everyday clinical workflow of remedial massage therapists.
- Coming Soon
AI Tidy Notes
Turn your own clinical notes into clearer professional wording while staying in control of the final record.
Tidy Notes will review your free-text documentation together with relevant selections from the consultation and suggest a professionally worded version. You review and edit before anything is saved.
- Coming Soon
Range of Motion in Degrees
Record measured range of motion directly in degrees.
- Cervical Flexion — 45°
- Cervical Rotation — 60°
- Shoulder Flexion — 165°
- Shoulder Abduction — 160°
- Coming Soon
Smarter Evaluation
Carry relevant assessment information into the Evaluation section.
Selected Group and Objective Examination items will be able to flow into Evaluation, helping reduce repeated documentation. Where AI Tidy Notes is used, you still review the suggestion before it becomes part of the record.
- Coming Soon
Review Next Visit
Carry important clinical findings forward so the next consultation doesn't start from memory.
Mark relevant muscles, objective findings, postural findings, trigger points and range-of-motion findings as Review Next Visit. These appear as reminders in the client's next consultation and treatment plan.
Today's findings can become tomorrow's clinical reminder.
- Coming Soon
See What Still Needs Attention
Identify selected areas not yet assessed or addressed — covering posture, AROM, PROM and trigger points — to support a To Do Next Time list.
These reminders support your own clinical reasoning. They do not replace it.
- Coming Soon
Find What Needs Your Attention
Planned dashboard improvements include searching clients by treatment date, viewing unfinished consultations and quickly reopening incomplete clinical notes.
- Coming Soon
Create Professional Referral Letters From the Clinical Record
Use relevant assessment findings, treatment history and clinical notes to prepare referral letters for appropriate health professionals — including GP, physiotherapist, exercise physiologist, chiropractor, osteopath, podiatrist or other allied health.
You review, edit and approve every letter before it is exported or sent.
Future Development
Concepts we're thinking about for the longer term.
AI Clinical Reminder Suggestions
In the future, AI may be able to review documented assessment findings and suggest muscles, structures or assessment areas for the therapist to consider.
Any suggestion would remain subject to the therapist's own assessment and clinical reasoning.
Clinical Documentation That Follows Your Treatment Process
Assess. Treat. Record. Reassess.
Explore Assess Treat Record and see how assessment, treatment, documentation and planning can stay connected from one consultation to the next.