What information should be included in a prescription blank for physical therapy?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: October 27, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

Essential Components of a Physical Therapy Prescription

A comprehensive physical therapy prescription should include the diagnosis, type of therapy, frequency, duration, specific goals, and safety precautions to ensure optimal patient outcomes and proper communication between healthcare providers. 1

Core Components

  • Patient Information: Full name, date of birth, contact information, and relevant medical record numbers 2
  • Diagnosis: Clear statement of the medical diagnosis or condition requiring physical therapy 1
  • Type of Therapy: Specific interventions or modalities to be used (e.g., aerobic exercise, resistance training, flexibility exercises) 3
  • FITT-PRO Parameters: Frequency, Intensity, Type, Time, and Progression specifications 3
    • Frequency: Number of sessions per week (typically 2-5 days/week) 3
    • Intensity: Target exertion level (e.g., using Borg RPE scale, percentage of maximum heart rate) 3
    • Type: Specific exercises or activities 3
    • Time: Duration of each session (typically 30-60 minutes) 3
    • Progression: Guidelines for advancing the program 3
  • Goals of Therapy: Specific, measurable outcomes to be achieved 1
  • Duration: Total length of the physical therapy program 1
  • Safety Precautions: Any restrictions, contraindications, or special considerations 1
  • Prescriber Information: Name, signature, contact information, and date 2

Assessment Information to Include

  • Functional Assessment Results: Baseline measurements of pain, fatigue, weakness, range of motion, balance, and walking ability 3
  • Relevant Medical History: Comorbidities that may affect therapy (e.g., cardiovascular disease, diabetes, osteoporosis) 3
  • Previous Physical Activity Level: Assessment of current capabilities and limitations 3
  • Specific Limitations: Any restrictions on movement or activity 3

Disease-Specific Considerations

  • Cardiovascular Conditions: Include exercise test results, target heart rate ranges, and any monitoring requirements 3
  • Musculoskeletal Conditions: Specify weight-bearing restrictions, movement limitations, and pain management approaches 3
  • Neurological Conditions: Include assessment of sensorimotor function and cognitive abilities 3
  • Pulmonary Conditions: Note respiratory function parameters and oxygen requirements 3

Exercise Prescription Elements

  • Aerobic Training: Specify mode (e.g., walking, cycling), intensity (e.g., 50-80% of exercise capacity), frequency (3-5 days/week), and duration (30-60 minutes) 3
  • Resistance Training: Include frequency (2-3 days/week), intensity (e.g., 8-15 repetitions maximum), sets (1-3), and specific exercises for major muscle groups 3
  • Flexibility Training: Detail frequency (2-3 times/week), duration of stretches (10-30 seconds), repetitions (3-4), and target muscle groups 3
  • Balance and Functional Training: Specify exercises that address specific functional limitations 3

Communication Elements

  • Interdisciplinary Coordination: Instructions for communication between the physical therapist and other healthcare team members 3
  • Follow-up Plan: Timeline for reassessment and criteria for discharge or program modification 3
  • Home Exercise Program: Guidelines for exercises to be performed outside of formal therapy sessions 3

Common Pitfalls to Avoid

  • Vague Prescriptions: Avoid general statements like "evaluate and treat" without specific parameters 1
  • Overlooking Contraindications: Failure to note activities that should be avoided based on the patient's condition 3
  • Inadequate Progression Planning: Not providing guidelines for advancing the program as the patient improves 3
  • Missing Safety Parameters: Failing to include vital signs monitoring requirements or exercise termination criteria 3
  • Neglecting Functional Goals: Focusing only on impairments rather than functional outcomes 3

By including these essential components in a physical therapy prescription, healthcare providers can ensure effective communication and optimize patient outcomes through appropriate, targeted interventions.

References

Research

The physical therapy prescription.

American family physician, 2007

Guideline

Medicolegal Aspects of Medical Practice

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.