Physical therapy documentation demands precision. Every note needs to reflect sound clinical reasoning, accurate measurements, and clear plans of care that stand up to payer review.
OneChart’s AI for SOAP notes in physical therapy is built to support that standard, helping therapists document faster without sacrificing accuracy, consistency, or clinical judgment.
Clinically Accurate, PT-Specific Documentation
OneChart captures and structures the details that matter in physical therapy encounters. Patient symptoms, functional complaints, and goals are translated into clear clinical language. Objective findings such as range of motion values, muscle strength grades, gait deviations, functional test results, and treatment parameters are documented using appropriate PT terminology. The resulting notes connect impairments to activity limitations and real-world participation impact, reflecting how therapists actually reason through care decisions.
Structured SOAP Notes That Stay Consistent
Each encounter is organized into a clear, predictable SOAP format.
Subjective sections reflect patient-reported concerns, pain patterns, goals, and relevant history.
Objective sections include measurable findings and recorded interventions with sets, reps, duration, resistance, and cues.
Assessment sections summarize clinical progress and primary problems without overstatement.
Plan sections outline next-visit focus, progression strategies, visit frequency, and home exercise updates.
This consistency makes notes easier to review, easier to edit, and easier to defend during audits.
Adaptable to Different PT Settings and Specialties
Physical therapy is not one-size-fits-all. OneChart supports orthopedic, neuro, pediatric, sports, and general rehab workflows through PT-specific templates that clinics can customize to match their preferences. Notes can be adjusted for different levels of detail depending on setting, patient complexity, or payer requirements, while maintaining a consistent clinical tone across visits.
Reliable Output You Can Review and Control
Therapists remain in full control of every note. OneChart produces stable, repeatable documentation with consistent formatting and terminology across visits, reducing variability and minimizing surprises. Notes are easy to review, edit, and finalize, supporting verification rather than replacing clinical judgment.
Built for Compliance and Documentation Standards
OneChart is designed for professional healthcare environments with secure handling of patient data and adherence to privacy requirements. Documentation supports medical necessity and avoids unsupported claims, helping clinics stay aligned with payer and regulatory expectations. Secure workflows and compliant data handling are built in from the start.
Faster Charting Without Breaking Your Workflow
By capturing visits through voice or dictated input and producing structured SOAP notes automatically, OneChart significantly reduces time spent charting. Notes can be copied or exported cleanly into EMR systems while preserving SOAP structure and formatting. This makes it easy to fit into existing workflows without retraining staff or changing how clinicians practice.
Clear, Professional Notes That Support Care and Billing
The output is concise, readable, and professional, using standard clinical language and abbreviations familiar to physical therapists. When needed, documentation can support billing workflows by aligning recorded care with appropriate coding details, helping clinics reduce denials and rework.
OneChart helps physical therapists spend less time documenting and more time delivering care, while keeping SOAP notes accurate, consistent, and audit-ready.