Reflexology Reassessment Note

Client: [Client name or identifier]

Date of reassessment: [MM/DD/YYYY]

Provider: [Provider name, credentials]

Reassessment interval: [Visits X–Y / covering MM/DD–MM/DD]

Modality: [telehealth / remote coaching] (Include only if any sessions were delivered remotely; omit if exclusively in-person.)

Interval Summary

[Brief narrative synthesis for the interval] (Write 2–4 sentences covering: trigger for reassessment [scheduled interval / symptom flare / new health concern], overall trajectory [improving / stable / mixed / worsening], top client priorities addressed, attendance and self-care adherence, and high-level approach used. Do not list individual techniques.)

Subjective

[Client-reported symptom trends and response to sessions] (Begin statements with "Client reports..." Include frequency, severity patterns, and functional impact over the interval. Use temporal association language, e.g., "reports improved sleep on nights following sessions," avoiding causal claims.)

[Interim health updates and safety screening] (Document new diagnoses attributed as "Client reports diagnosis of [condition] by [provider]," medication changes, injuries, or skin changes to feet. Note any adverse events such as dizziness, pain flare, or skin irritation. If none: "No interim medical changes or adverse events reported.")

Objective

• [Skin integrity and tissue findings] (Describe condition of feet and lower legs relevant to safe care delivery, including any swelling, bruising, or lesions.)
• [General presentation] (Include only if pertinent to goals, e.g., posture, gait, affect.)
• [Outcome measures] (List measure name with baseline, prior, and current values. If none collected: "No standardized measures collected this interval.")
• [Treatment tolerance] (Note tolerance to pressure, duration, and positioning; include any modifications made.)

Assessment

[Clinical impression of progress] (Summarize progress relative to client goals, symptom trends, and functional changes using non-diagnostic language.)

• [Goal 1]: [met / partially met / not met / discontinued] — [supporting evidence]
• [Goal 2]: [met / partially met / not met / discontinued] — [supporting evidence]
• (Add additional goals as needed.)

[Barriers to progress, if applicable] (Identify barriers if goals are not met, including attendance, adherence, stressors, or contraindications.)

Plan

• [Session frequency] (Specify recommended frequency, number of sessions until next reassessment, and next reassessment date.)
• [Approach modifications] ([continue / modify / discontinue] — outline changes to pressure, pacing, focus areas, or session length; note what will be avoided due to contraindications or intolerance.)
• [Self-care recommendations] (List home strategies, foot care guidance, and education provided.)
• [Referral, if indicated] (Document referral to medical provider, rationale, and client response.)

Provider signature: [Name, credentials]   Date: [MM/DD/YYYY]