NDIS Initial.

Section: Patient Information [Name, Date of Birth, Address, Contact Information] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in list format.) [Emergency contact or guardian] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Employment/day program status, school involvement, volunteering, or roles at home] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Current NDIS plan dates, funding type, relevant goals] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Primary Diagnosis / Disability [Main disability] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Secondary diagnoses or comorbidities] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Date of diagnosis and source] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Medical History [Relevant medical conditions] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) [Past surgeries or significant injuries] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in list or paragraph format.) [Current medications] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) [Allergies] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write as list.) Section: Social / Environmental History [Living arrangements] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Support system] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Cultural or language considerations] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Daily routine and engagement in activities] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Mobility and Function [Current mobility status] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Transfers] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph or list format.) [Stairs] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Endurance] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Falls history] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Balance and postural control] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Functional use of limbs] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Communication and Cognition [Level of understanding and ability to follow instructions] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Behavioural considerations or sensory needs] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Use of AAC] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Pain [Presence, location, frequency, triggers, current strategies] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Equipment [Current equipment in use] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Suitability of current equipment] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [History of previous trials or rejections] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Home Environment and Accessibility [Known barriers in the home environment] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Previous home modifications or future needs] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Support Team and Allied Health Involvement [Other therapists involved] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Medical specialists or regular GP] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Support coordinator or case manager] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) Section: Subjective [Reason for physiotherapy referral] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Patient’s or carer's understanding of condition] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Functional concerns] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Prior physiotherapy or rehab experience] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Hopes, expectations, or concerns] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Patient-Centered Goals [Short-term goals] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Long-term goals] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Relevant NDIS plan goals] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) Section: Objective Assessment [Observation: posture, gait, assistive devices, alignment, skin integrity] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [ROM and flexibility findings] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Strength: functional or manual muscle testing] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Balance: static/dynamic, eyes open/closed, supported/unsupported] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Mobility tests performed and results] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Neurological findings: tone, reflexes, spasticity, coordination] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Fatigue tolerance or exertion response] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Assessment / Clinical Impression [Summary of findings: key impairments, functional limitations, strengths] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Clinical diagnosis or classification] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Impact of disability on participation] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Identified risks] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) Section: Plan [Recommended physiotherapy focus] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Frequency and duration of therapy] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Recommended equipment trial or review] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Plan to liaise with support team or case conference] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Education topics to address] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) [Home exercise program initiation and progression] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in paragraph format.) [Referral suggestions] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Write in bullet point format.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.)