Standards › Standard 18 › Forms
Form · PHY-FRM-001 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 18.1
Purpose
Records the assessment before treatment: the problem, goals, contraindications and red flags, and any referral.
How to complete
- Record the problem and the contraindications.
- Record any red flag and its referral.
- Record the goals agreed with the patient.
Checks
| Check | Entry |
|---|---|
| Presenting problem | Yes |
| Contraindications checked (yes or no) | Yes |
| Red flags (yes or no) and referral made | Yes |
| Goals agreed with patient | Yes |
| Physiotherapist and date | Yes |
Evidence
| Reference | Note |
|---|---|
| E-009 | Based on the WCPT Descriptor of physical therapy (2019) and the WHO Rehabilitation in health systems guide (2019). |
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
E-learning for this document
No e-learning course is linked to this document yet.
Planned course: Physiotherapy assessment before treatment. New course planned.
References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)