Patient
Screen
Protocol
Note
Patient & Complaint
Fill in visit basics — this drives the protocol output.
Patient Info
Treatment Region & Complaint
Contraindication Screen
Check ALL that apply before proceeding. Absolutes = stop. Relatives = caution.
🛑 STOP — Absolute Contraindication Present
RPWT is contraindicated for this patient at this time. Do not proceed. Inform the treating provider.
⚠️ Caution — Relative Contraindication(s) Present
Proceed only with provider clearance. Modify treatment parameters as needed and document.
Absolute Contraindications
Relative Contraindications — Provider Clearance Required
Treatment Protocol
Auto-adjusted for session, chronicity, and pain level. Confirm settings on machine before starting.
—
Pressure Setting
— bar
— Hz
Session —
⚠️ Region-Specific Caution
Session Parameters
Technique Notes
Patient Position & Setup
General RPWT Reminders
🧴 Coupling medium: Aquasonic gel — apply generously
🎯 Patient sensation target: 6–7/10 — if guarding, reduce bar or Hz
⏱ Warm-up zone: 500–1,000 pulses at lower bar before primary
📊 Max total pulses: 4,000 per session
💊 Post-tx: No NSAIDs 48 hrs · No aggressive loading 48 hrs
😓 Expect: Soreness 24–72 hrs post-treatment — this is normal
Patient Response During Treatment
Select the best description of patient's response. This feeds into the note.
Well Tolerated
No guarding, completed full protocol
Protocol Modified
Parameters adjusted during session
Guarding / Sensitive
Patient required verbal coaching
Stopped Early
Treatment discontinued before completion
Immediate Relief
Patient reported pain reduction post-tx
No Immediate Change
Typical — results often delayed 24–72 hrs
Clinical Note
Ready to copy into the EHR. One tap copies the full note.
Colleyville Chiropractic
RPWT — PZ-3201M · Radial Pressure Wave Therapy
Progress Note
—
—
—