Physical therapy clinic

Ridgeline Physical Therapy · Physical therapy clinic · Boise, ID

Sasha Lindqvist runs Ridgeline Physical Therapy in Boise, and she uses this to write each patient's plan of care, send it to the referring physician for a signature and keep visits and progress notes against it.

HealthcareComplianceDocuments and e-sign4 tables · 5 views · 2 forms · 2 dimension sets · 1 digest · 1 document · 1 notification · 1 stage rule set · 1 agent
Use this template

Plan board

Plans of care
Draft3
Vantana — right shoulder impingement, plan of carePOC-4457Priya Vantana
Tallaksen — hand tendon repair, plan of carePOC-4474Ingrid Tallaksen
Dellinger — low back strain from lifting, plan of carePOC-4491Cormac Dellinger
Sent for signature5
Quattrocchi — rotator cuff repair, plan of carePOC-4372Lorenzo Quattrocchi
Baumgartner — degenerative knee pain with weakness, plan of carePOC-4389Hester Baumgartner
Ruiz — hamstring strain, plan of carePOC-4406Anselm Ruiz-Vickery
Okonkwo — cervicogenic headaches, plan of carePOC-4423Philippa Okonkwo-Marsh
Linfield — low back pain with sciatica, plan of carePOC-4440Thaddeus Linfield
Signed12
Castellan — rotator cuff tendinopathy, plan of carePOC-4100Nora Castellan
Ashworth — acl reconstruction, plan of carePOC-4117Devon Ashworth-Pike
Vantana — lumbar disc bulge at l4-l5, plan of carePOC-4134Priya Vantana
Solano — total knee replacement, plan of carePOC-4151Marguerite Solano
Reinhardt — cervical radiculopathy at c6, plan of carePOC-4168Tobiah Reinhardt-Lund
7 more
Discharged4
Broome — ankle sprain, plan of carePOC-4304Isaiah Broome
Alderete — achilles tendinopathy, plan of carePOC-4321Griffin Alderete
Fenmore — patellofemoral pain syndrome, plan of carePOC-4338Odalys Fenmore
Castellan — frozen shoulder, plan of carePOC-4355Nora Castellan

Tables

Plans of care

24 sample rows · 17 columns

Every patient's written plan of care, from the draft through the referring physician's signature to discharge.

PlanPlan numberPatientDiagnosisReferring physicianTreating therapistVisit frequency
Dellinger — low back strain from lifting, plan of carePOC-4491Cormac DellingerLow back strain from liftingDr. Kasimir DuvallMarcus Reidenbach2x per week
Tallaksen — hand tendon repair, plan of carePOC-4474Ingrid TallaksenHand tendon repair, right ring fingerDr. Evangeline Osei-GrantMarcus Reidenbach2x per week
Vantana — right shoulder impingement, plan of carePOC-4457Priya VantanaRight shoulder impingementDr. Leopold StrikerSasha Lindqvist2x per week
Linfield — low back pain with sciatica, plan of carePOC-4440Thaddeus LinfieldLow back pain with sciatica, rightDr. Amina Nakashima-ReyesMarcus Reidenbach2x per week
Okonkwo — cervicogenic headaches, plan of carePOC-4423Philippa Okonkwo-MarshCervicogenic headachesDr. Kasimir DuvallMarcus Reidenbach1x per week
Ruiz — hamstring strain, plan of carePOC-4406Anselm Ruiz-VickeryHamstring strain, rightDr. Evangeline Osei-GrantSasha Lindqvist2x per week
Baumgartner — degenerative knee pain with weakness, plan of carePOC-4389Hester BaumgartnerDegenerative knee pain with weaknessDr. Leopold StrikerMarcus Reidenbach2x per week
Quattrocchi — rotator cuff repair, plan of carePOC-4372Lorenzo QuattrocchiRotator cuff repair, five weeks post-opDr. Amina Nakashima-ReyesMarcus Reidenbach3x per week
Abiodun — patellofemoral pain, plan of carePOC-4287Zuri Abiodun-HalePatellofemoral pain, both kneesDr. Kasimir DuvallMarcus Reidenbach2x per week
Dellinger — ankle sprain, plan of carePOC-4270Cormac DellingerAnkle sprain, grade two, leftDr. Evangeline Osei-GrantMarcus Reidenbach2x per week
Tallaksen — balance loss after fall, plan of carePOC-4253Ingrid TallaksenBalance loss after fall, no fractureDr. Leopold StrikerSasha Lindqvist2x per week
Nowak — lateral epicondylitis, plan of carePOC-4236Baptiste NowakLateral epicondylitis, left elbowDr. Amina Nakashima-ReyesMarcus Reidenbach2x per week

12 more rows

Patients

20 sample rows · 7 columns

The people on the caseload, with how they are insured and every plan of care written for them.

PatientDate of birthPhoneEmailInsurancePlans of care
Anselm Ruiz-VickerySep 21, 2000(208) 555-0137anselm.ruiz@treasureridge-post.netSelf-payRuiz — hamstring strain, plan of care
Baptiste NowakAug 9, 1980(208) 555-0131baptiste.nowak@treasureridge-post.netWorkers' compNowak — lateral epicondylitis, plan of care
Camille DuprezJun 4, 1983(208) 555-0128camille.duprez@treasureridge-post.netCommercial PPODuprez — lumbar spinal stenosis, plan of care
Cormac DellingerMar 3, 1993(208) 555-0133cormac.dellinger@boisevalleymail.comCommercial PPODellinger — ankle sprain, plan of care, Dellinger — low back strain from lifting, plan of care
Devon Ashworth-PikeNov 2, 1991(208) 555-0121devon.ashworth@boisevalleymail.comCommercial PPOAshworth — acl reconstruction, plan of care
Griffin AldereteOct 19, 1995(208) 555-0129griffin.alderete@idahoinbox.netMedicaidAlderete — achilles tendinopathy, plan of care
Hester BaumgartnerJun 18, 1962(208) 555-0136hester.baumgartner@boisevalleymail.comMedicareBaumgartner — degenerative knee pain with weakness, plan of care
Ingrid TallaksenJan 16, 1969(208) 555-0132ingrid.tallaksen@idahoinbox.netMedicareTallaksen — balance loss after fall, plan of care, Tallaksen — hand tendon repair, plan of care
Isaiah BroomeJan 30, 2002(208) 555-0123isaiah.broome@idahoinbox.netWorkers' compBroome — ankle sprain, plan of care
Lorenzo QuattrocchiOct 30, 1958(208) 555-0135lorenzo.quattrocchi@idahoinbox.netMedicareQuattrocchi — rotator cuff repair, plan of care
Marguerite SolanoSep 8, 1954(208) 555-0124marguerite.solano@boisevalleymail.comMedicareSolano — total knee replacement, plan of care
Nora CastellanMar 14, 1978(208) 555-0120nora.castellan@idahoinbox.netCommercial PPOCastellan — rotator cuff tendinopathy, plan of care, Castellan — frozen shoulder, plan of care

8 more rows

Visits

61 sample rows · 9 columns

Every evaluation, treatment and discharge visit against a plan, with the note the therapist wrote.

VisitPlan of careVisit dayVisit kindLengthTherapistStatus
Okafor — treatment 6-4Okafor — plantar fasciitis, plan of careOct 13, 2026Treatment45Marcus ReidenbachScheduled
Reinhardt — treatment 5-4Reinhardt — cervical radiculopathy at c6, plan of careOct 12, 2026Treatment45Marcus ReidenbachScheduled
Solano — treatment 4-4Solano — total knee replacement, plan of careOct 9, 2026Treatment45Sasha LindqvistScheduled
Vantana — treatment 3-4Vantana — lumbar disc bulge at l4-l5, plan of careOct 8, 2026Treatment45Marcus ReidenbachScheduled
Ashworth — treatment 2-4Ashworth — acl reconstruction, plan of careOct 7, 2026Treatment45Marcus ReidenbachScheduled
Castellan — treatment 1-4Castellan — rotator cuff tendinopathy, plan of careOct 6, 2026Treatment45Sasha LindqvistScheduled
Dellinger — evaluation 24-1Dellinger — low back strain from lifting, plan of careOct 2, 2026Evaluation60Marcus ReidenbachCompleted
Linfield — treatment 21-2Linfield — low back pain with sciatica, plan of careOct 1, 2026Treatment45Marcus ReidenbachCompleted
Tallaksen — evaluation 23-1Tallaksen — hand tendon repair, plan of careOct 1, 2026Evaluation60Marcus ReidenbachCompleted
Okonkwo — treatment 20-2Okonkwo — cervicogenic headaches, plan of careSep 30, 2026Treatment45Marcus ReidenbachCompleted
Vantana — evaluation 22-1Vantana — right shoulder impingement, plan of careSep 30, 2026Evaluation60Sasha LindqvistCompleted
Ruiz — treatment 19-2Ruiz — hamstring strain, plan of careSep 29, 2026Treatment45Sasha LindqvistCompleted

49 more rows

Forms and booking

Refer a patient

Form
Refer a patientThe page on the clinic's website for a physician's office or a patient to start care.
What is the patient's full name? *
What is the patient's date of birth?
Which number reaches the patient?
Where should appointment reminders go?
How will the visits be paid for?Commercial PPOMedicareMedicaidWorkers' compSelf-pay
Send the referral

Write a plan of care

Form
Write a plan of careThe sheet the therapist fills in after an evaluation.
What is the plan called? *
Which patient is it for? *
What is the diagnosis?
How often should the patient come?1x per week2x per week3x per week
How many visits does the plan ask for?
What should the patient be able to do by the end?
Which day does the plan start?
Save the plan

Also included

  • Plan of care for signatureDocumentThe plan the referring physician reads and signs to certify the care.
  • Plan boardStage rules
  • Plans waiting on a physicianDigest
  • Re-evaluation coming upNotificationWarns the treating therapist a few days before a re-evaluation falls due.