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Occupational Therapy

OT Functional Assessment Report

Auto-generated from your outcome measures. Six functional domains. Three report modes. Editable Word document in under 60 seconds.

6 Functional Domains3 Report ModesEditable DOCXFrom $9/month

ClientForms generates occupational therapy assessment reports with auto-populated outcome scores across six functional domains — self-care, productivity, leisure, motor, cognitive, and environmental. Used by occupational therapists across Australia, the OT report replaces manual score copying with a structured, editable Word document in under 60 seconds. Three report modes (Initial Assessment, Progress Review, Discharge Summary) with Reliable Change Index calculations and embedded trend charts. Works with all 33 OT outcome measures — FES-I, Berg Balance Scale, ARAT, Fugl-Meyer, GAS, PRWHE, NEADL, and more. For NDIS-specific reporting, use the dedicated NDIS progress report generator.

What Gets Auto-Generated vs What You Write

Auto-Generated

  • Assessment scores with severity bands
  • Trend analysis and RCI calculation
  • Functional domain auto-hints from scores
  • Risk flags from assessment responses
  • Client info and clinician details
  • Trend charts embedded in document

What You Write

  • Referral background and history
  • Functional capacity observations
  • Goals and priorities
  • Clinical reasoning
  • Intervention plan
  • Recommendations and equipment needs

See It in Action

Margaret Chen, 74, referred for falls prevention assessment following two falls at home. Here's how the report auto-populates from her outcome measures.

1

Assessment scores auto-populate

FES-I (Falls Efficacy Scale)

34/64

High Concern↓ from 42

BBS (Berg Balance Scale)

38/56

Medium Fall Risk↑ from 28
2

Functional domain hints auto-fill

Based on Margaret's FES-I and BBS scores, the report pre-populates domain-level hints:

Self-Care

Shower transfer concern flagged from FES-I item 7

Motor

Standing balance deficit — BBS items 6, 7 below threshold

Environmental

Stair negotiation risk — FES-I item 10 elevated

3

You add clinical observations

The auto-populated data gives you the evidence. You add the clinical reasoning, functional observations, goals, and recommendations that only the treating OT can provide.

Your clinical narrative

"Margaret demonstrated improved standing balance during functional tasks, transitioning from sit-to-stand with reduced upper limb support. Home modifications (grab rails, non-slip mats) have been installed. Recommend continued fortnightly sessions focusing on dynamic balance and community mobility."

Three Report Modes

Initial Assessment

Baseline snapshot establishing current functional levels across all domains. No trend data — this is the starting point for measuring progress.

Most Common

Progress Review

Full trend analysis with Reliable Change Index, embedded charts, and functional domain mapping. Compare current scores against baseline and previous assessments.

Discharge Summary

Intake vs discharge comparison showing goals achieved, functional gains, and recommendations for ongoing self-management or community supports.

Key Features

Auto-Scored Assessments

FES-I, BBS, GAS, PRWHE, COPM, and more — scores, severity bands, and clinical thresholds calculated automatically from patient responses.

Functional Domain Mapping

Scores auto-map to six OT functional domains: self-care, productivity, leisure, motor, cognitive, and environmental — pre-populating domain hints in the report.

Editable DOCX Output

Download as a Word document. Auto-filled sections are pre-populated — add your clinical observations, review, and save as PDF for your records.

3 Report Modes

Initial assessment, progress review, or discharge summary — each mode auto-adjusts which sections appear and how data is presented.

Chart Embedding

Trend charts are embedded directly in the Word document — no screenshots or separate attachments needed. Visual evidence for referrers and funders.

Audit Logging

Every report generated is logged with a 7-year retention period. Full audit trail of exports for compliance and professional standards.

Common Questions

What is an OT functional assessment report?

An OT functional assessment report documents a client's functional capacity across key occupational domains — self-care, productivity, leisure, motor, cognitive, and environmental. It uses standardised outcome measures to establish baselines, track progress, and provide evidence-based recommendations to GPs, referrers, insurers, and NDIS planners.

How does ClientForms auto-populate assessment data?

When you administer assessments through ClientForms (FES-I, BBS, GAS, PRWHE, COPM, etc.), scores are automatically calculated with severity bands and clinical thresholds. When you generate a report, these scores — along with trend data and Reliable Change Index calculations — are pre-filled into the document. You add clinical observations and reasoning.

What functional domains are covered?

The report covers six functional domains: self-care (personal ADLs), productivity (work, education, home management), leisure (social and recreational participation), motor (balance, mobility, upper limb function), cognitive (executive function, memory, attention), and environmental (home safety, equipment needs, accessibility).

Can I edit the report after generating it?

Yes. The report downloads as an editable .docx Word document. Auto-filled sections (scores, severity bands, trend data, charts) are pre-populated. You add your clinical narrative, functional observations, goals, intervention plan, and recommendations. Save as PDF when ready to send.

What's the difference between an OT report and an NDIS progress report?

The OT functional assessment report is a clinical document for GPs, referrers, and insurers — it focuses on functional capacity across occupational domains. The NDIS progress report is a 12-section document specifically structured for NDIA plan review submission with Section 34 compliance. You can generate both from the same assessment data.

Which OT assessments are supported?

ClientForms supports 33+ OT-specific outcome measures including FES-I (Falls Efficacy Scale), BBS (Berg Balance Scale), GAS (Goal Attainment Scaling), PRWHE (Patient-Rated Wrist/Hand Evaluation), COPM (Canadian Occupational Performance Measure), FIM, Barthel Index, and many more.

How does the trend chart work?

Trend charts plot assessment scores over time, showing the trajectory from baseline through each reassessment. Charts include severity band overlays so you can see when a client crosses clinical thresholds. Charts are embedded directly in the Word document — no screenshots needed.

Is this suitable for NDIS evidence?

Yes. The report provides standardised outcome data that NDIS planners and support coordinators look for — severity classifications, functional impact evidence, and measurable progress. For formal NDIS plan reviews, you can also generate the dedicated NDIS progress report from the same data.

What report modes are available?

Three modes: Initial Assessment (baseline snapshot, no trend data), Progress Review (full trend analysis with RCI and embedded charts — most common), and Discharge Summary (intake vs discharge comparison with goals achieved and recommendations for ongoing support).

How much does it cost?

Start free with 10 patients. The Starter plan ($9/mo) and Professional plan ($19/mo) include unlimited report generation. All plans include assessment scoring, trend tracking, and DOCX export.

Generate Your First OT Report in Under 60 Seconds

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