1. Open the Treatment Plan
From the current consultation, continue to the Treatment Plan after completing the relevant assessment and muscle selections.
2. Review the Assessment and Muscle Selections
Before selecting treatment techniques, review the assessment findings and the muscles or muscle groups identified as relevant to the consultation.
This helps keep the treatment plan connected to the information recorded during the assessment.
3. Select the Treatment Techniques
Select the treatment techniques that are relevant to the client’s presentation and your planned treatment.
The therapist decides which techniques are appropriate based on the assessment findings, clinical reasoning and the individual treatment session.
4. Add the Techniques to the Treatment Plan
Add the selected techniques to the Treatment Plan so they form part of the clinical record for the consultation.
Continue adding the techniques relevant to the treatment being planned.
5. Review the Treatment Plan
Review the treatment plan before continuing with the consultation.
The recorded plan should reflect the treatment you intend to provide based on the client’s assessment and current presentation.
Objective Examination → Special Tests → Muscles / Muscle Groups → Treatment Plan → Treatment Techniques
This structured workflow helps connect assessment findings with the muscles identified as relevant and the treatment techniques selected for the session.
Clinical Note
Assess Treat Record provides the structure for recording a treatment plan. The therapist remains responsible for selecting techniques that are appropriate to the client’s presentation, assessment findings and scope of practice.
This article covers the Treatment Plan for the current consultation. It is separate from the Help Centre article How to Create a Future Treatment Plan, which explains planning for the client’s next consultation.
Next: Reassessment and Evaluation
After treatment, continue to reassessment and evaluation to record how the client’s presentation has changed following the treatment.