Forms · Free clinic tool

Clinic Form Builder

The Orthix Clinic Form Builder creates blank, printable clinic templates: patient intake, physiotherapy initial assessment, chiropractic initial assessment and SOAP note. Add your clinic name, contact details and optional logo, choose which sections to include, preview in Letter or A4, then download a PDF or editable Word (DOCX) file. Nothing is uploaded.

  • Free to use
  • No account needed
  • Nothing is uploaded

Form builder

Build your template

Use this physiotherapy assessment template, or the chiropractic SOAP note template, as a blank starting point. Pick sections, preview Letter or A4, then download a PDF or an editable Word file. Nothing is uploaded.

  • Live preview
  • Saves on this device only
  • PDF and Word

These templates have not been clinically reviewed. A clinician has not approved them. Adapt the wording to your profession, college and clinic before you use them with patients.

Printed on the template. Not saved on this device.

Address, phone or email. Example: 100 Example Street, Vancouver.

Paper size
Sections

PNG or JPEG, up to 2 MB. The file stays in this browser.

Save keeps the template, paper size and sections only. Clinic name, contact details and the logo are not saved.

Choose Preview to see the blank template. Letter and A4 stay on the screen without a sideways scroll. Download PDF or Download Word when the preview looks right.

Orthix for clinics

Add custom orthotics to your clinic

Create a clinic account when you want to order custom orthotics online. This form builder does not require one.

  1. 01

    Register your clinic

    Create the clinic account and confirm your email.

  2. 02

    Get verified

    Upload clinic verification. Ordering opens once it is approved.

  3. 03

    Order online

    Capture, prescribe and track each pair of custom orthotics in one place.

Example

Worked example

Sample clinic details only. They are not a real clinic or an Orthix price.

Patient intake, clinic name Example Clinic, placeholder contact details, no logo, and every section turned on.

Preview Letter and A4, then download a PDF or a Word (DOCX) file.

Inside the templates

What's included

Templates: patient intake, physiotherapy initial assessment, chiropractic initial assessment and SOAP note.

Each template is a fixed list of sections you can turn on or off. There is no drag-and-drop editor.

The page leaves blank lines, including a blank patient name line. This tool does not collect the answers.

These templates have not been clinically reviewed. A clinician has not approved them. Adapt the wording to your profession, college and clinic before you use them with patients.

FAQ

Questions

Something else on your mind? Talk to our team.

Have these templates been clinically reviewed?
No. These blank templates have not been clinically reviewed, and a clinician has not approved them. Adapt the wording to your profession, college and clinic before you use them with patients.
Does the Clinic Form Builder collect patient names or health histories?
No. It creates a blank physiotherapy assessment template or other form for someone to fill in later. Patient name is a blank line on the page. Nothing you preview is uploaded.
Can I download a PDF and an editable Word file?
Yes. Download PDF and Download Word build the file in this browser. The Word file is a real DOCX you can edit. Letter and A4 use the same sections as the preview.
Is the chiropractic SOAP note template a copied scale?
No. The chiropractic SOAP note template and the other forms use original section headings and blank writing lines. They are not a licensed outcome measure.