Early intervention PCO report: template for psychomotor therapists

An early intervention PCO report is the document a French private-practice psychomotor therapist writes for a child followed in the early assessment and intervention pathway for neurodevelopmental disorders (TND in French). It describes the assessment or intervention carried out, observations, goals, progress and the proposed next steps. It goes to the family, the GP and the coordination and referral platform, known in France as the PCO.

This scheme is specific to France. This page sets out the framework as those official texts describe it, a section-by-section structure and a filled-in example. If your PCO gives you its own template, use that one. This structure then helps you fill in each part without missing anything.

What this document is for

In the PCO pathway, several professionals see the same child. The platform's coordinating doctor approves the proposed pathway. The GP follows the child day to day. The family makes choices for their child. Your report is often the only way for each of them to know what happens in psychomotor sessions.

It does three things. It reports on the initial assessment and what you observe. It tracks goals and progress over the intervention. It helps the platform and the doctor decide what comes next, whether that means continuing, referring elsewhere or ending the intervention.

The initial assessment report looks like a standard psychomotor assessment report. Progress reviews are close to a progress assessment. The difference lies in who reads it and the flat-fee framework.

The framework

The pathway and the flat fee

The early assessment and intervention pathway is proposed by a doctor, such as a GP, a paediatrician, a nursery or mother and child health (PMI) doctor, or a school doctor. It is aimed at children under 7 with neurodevelopmental disorders. The 2025 technical sheet also mentions the extension of the flat fee to children aged 7 to 12.

The fee funds the work of three professions in private practice, occupational therapists, psychologists and psychomotor therapists. It can only be paid to professionals who have signed a collaboration contract with the PCO. According to the technical sheet, it can be paid for one year, renewable once. The 2020 sheet published by the regional health agency (ARS), like the monparcourshandicap.gouv.fr website, refers instead to one year that can be extended by six months if needed. In practice, check the planned length for each child with your PCO.

The amounts and the expected number of sessions are given in the early intervention flat fee technical sheet. Refer to that document and to your contract rather than to a figure quoted elsewhere.

Reports within the flat fee

The technical sheet states that the fees are understood to include writing the assessment and intervention reports, as well as coordination time with the platform. The report is not extra work. It is part of what the fee pays for.

The assessment pathway sheet states that reports must be sent to the family, the GP and the coordination and referral platform. So write for all three readers at once.

Confidentiality, access to records, informing parents

Professional confidentiality applies under article L1110-4 of the French Public Health Code. Information shared between professionals in the pathway should be limited to what is useful for the child's care. Only put in the report what serves the follow-up.

Parents with parental authority can ask for access to their child's health information under article L1111-7 of the same code. They receive the report anyway. Write it knowing they will read it, in clear words and without judging the family.

Tell parents what you send and to whom. According to the ARS sheet, the family's wishes take priority over the solutions proposed by the platform. An intervention at home, at nursery or at school also requires the family's agreement, as monparcourshandicap.gouv.fr points out.

The structure, section by section

This structure works for the assessment report and for progress reviews. Keep the sections you need and adapt them to your PCO's template.

1. Identification

The child's first name, surname and date of birth. The name of the PCO and the case lead if you know them. The doctor who prescribed the pathway and the GP. Your name, profession and contact details.

2. Date and type of intervention

State whether this is the initial assessment report, a progress review or an end of intervention report. Give the date of the document, the period covered and the number of sessions held.

3. Reason for referral

Restate the request as the PCO sent it to you. Add in one or two sentences the parents' concerns and, if you have them, those of the nursery or school.

4. Observations and results

Describe what you observed in the psychomotor areas relevant to the request, such as coordination, balance, fine motor skills, muscle tone, emotional regulation and attention. If you used tests, give their names and the results you scored. Explain in a plain sentence what they mean for the child.

5. Intervention goals

Two to four concrete, observable goals linked to the reason for referral. For example "go up and down stairs alternating feet" rather than "improve gross motor skills".

6. How the intervention runs

Session frequency, place and length. Approaches used, such as motor circuits, pretend play, relaxation or drawing work. The parents' role, time spent talking with them, advice given for home.

7. Progress

For a progress review, compare with the starting point, goal by goal. Note what is improving, what is stalling and what has been adjusted.

8. Points to watch

Anything the doctor or the platform should notice. For example an area outside psychomotor therapy, marked tiredness or repeated missed sessions.

9. Recommendations and next steps

Continuing the intervention, changing the frequency, a further opinion suggested to the doctor, ending the intervention. Stay within your scope. You propose, and the doctor and the platform decide with the family.

10. Signature

Date, name, profession, signature. List of people the document is sent to.

A filled-in example

The example below is fictional. It shows the expected tone and level of detail. It contains no scores.

Identification. Sacha V., born in 2022, aged 4. Referred by the local PCO. Pathway prescribed by his paediatrician. GP, Dr L. Report written by Ms R., private psychomotor therapist under contract with the PCO.

Type. Progress review after 14 sessions, from January to April.

Reason. Sacha was referred for delayed coordination and difficulties with self-regulation. His parents describe frequent falls and tantrums that are hard to calm. The school reports that he struggles to stay seated at group time.

Observations at assessment. Sacha climbs stairs one step at a time, holding on. He jumps with feet together with difficulty. His pencil grip is palmar. He moves quickly from one activity to another and becomes disorganised when a game stops. He accepts contact well and seeks the adult's gaze.

Goals. Climb stairs alternating feet with support. Stay with an activity for five minutes with the adult. Calm down with simple help after a frustration.

How it runs. One 45-minute session a week at the practice. Motor circuits, rhythm games, calming time with a weighted cushion. His mother joins for the last ten minutes. A transition game is suggested for home.

Progress. Sacha now alternates feet going up, using the rail. He stays longer with a guided game. Tantrums in sessions are shorter. His parents say they use the transition game in the morning.

Points to watch. His language seems limited for his age. This falls outside psychomotor therapy and is flagged to the doctor.

Next steps. Continue at the same frequency. Next review in three months. Speech therapy opinion suggested to the GP.

Sent to. Parents, Dr L., PCO.

Common mistakes

• Ignoring the PCO template and sending your own format. In practice the platform receives reports from several professionals for the same child.
• Writing for a single reader. The doctor, the platform and the parents all read the same text.
• Giving numerical results without explaining them. One plain sentence on what they mean is enough.
• Setting vague goals that cannot be checked at the next review.
• Leaving out the parents' role.
• Making a diagnosis. You describe and propose, the diagnosis belongs to the doctor.
• Sending the document late. The pathway is time-limited and the platform relies on your reports to propose next steps.

Save time with Delta

Delta is the clinical assistant for mental health and allied health professionals. During the session, Delta transcribes what is said. You can also dictate your observations after the session and add written notes.

Delta generates the report for each session and updates the child's file, with a summary of the follow-up and the goals being tracked. For a PCO progress review, you start from sessions that are already summarised.

Delta also drafts letters and assessments. As the Delta for psychomotor therapists page states, it offers templates for the psychomotor assessment, the report, the individualised treatment plan, the letter to the doctor and the certificate of attendance. You can create your own templates, for example your PCO's.

Delta does not calculate any scores. It uses the results you typed or dictated as they are. It does not handle scheduling or billing. It is a recent tool built by a small team.

Data is hosted in France by an HDS-certified host. The child's name and identifying details are pseudonymised before the AI step. No audio file is kept. Data is never used to train a model. The trial lasts 14 days, with no bank card. After that, the Pro plan costs 29 euros per month incl. VAT billed annually, 348 euros per year, or 35 euros per month incl. VAT with no commitment. A free plan is limited to 10 sessions per month.

Further reading

• Psychomotor assessment report template
• Psychomotor progress assessment template
• Psychomotor therapy discharge report template
• Psychomotor therapy fees and funding in France
• Letter to the doctor or school
• All our clinical document templates
• What is Delta?

Sources

• Early intervention flat fee technical sheet, handicap.gouv.fr, March 2025 (in French)
• Early assessment and intervention pathway technical sheet, June 2020, published by ARS Provence-Alpes-Côte d'Azur (in French)
• Payment of private professionals in PCOs, ameli.fr (in French)
• The early intervention flat fee, monparcourshandicap.gouv.fr (in French)