Psychomotor therapy discharge report: template and example

The psychomotor therapy discharge report is the document that closes a course of treatment. In one or two pages, it sums up why the child or adult came, what was worked on, what changed and what is proposed next. You write it when the goals are met, when the early intervention package from the coordination platform (PCO) comes to an end, when the family decides to stop or when you refer the patient to another professional.

This page gives you a section-by-section structure, a filled-in example with a fictional patient and the mistakes to avoid. It is written for the French setting.

What this document is for

The discharge report has three uses. It tells the family clearly how far the child has come. It informs the prescribing doctor, who follows the whole care pathway. It prepares what comes next, whether that is a simple stop, a later restart or a referral to another professional.

It is also useful for you. If the child comes back in two years, you will find on one page where their skills stood when treatment ended.

This document does not replace a final psychomotor assessment when you do one. It summarises it and places it within the story of the treatment. For an interim assessment, see our psychomotor progress assessment template.

The framework

Practice on medical prescription

In France, psychomotor therapists practise on a doctor's prescription. The French federation of psychomotor therapists (FFP) states this and refers to article R4332-1 of the Public Health Code, which governs the profession. In practice, the discharge report is addressed to the doctor who prescribed the treatment, or to the GP if that is a different person.

The TND pathway and the platform

In the assessment and early intervention pathway for neurodevelopmental disorders, private psychomotor therapists who take part have signed a contract with the coordination and referral platform (PCO). The technical sheet published by the French ministry says the package is only paid to professionals under contract with the platform, and that it can be paid for one year, renewable once. It states that writing the assessment and intervention reports is part of the package.

The technical sheet on the assessment pathway published by the regional health agency for Provence-Alpes-Côte d'Azur says assessment and early intervention reports must be sent to the family, the GP and the platform. In practice, the end of the package is therefore a point where this report is expected. For the structure specific to that pathway, see our early intervention PCO report template.

Professional secrecy

Professional secrecy covers everything you know about the patient (article L1110-4 of the Public Health Code). Sharing with the doctor and the care team is done in the patient's interest and is limited to what is useful for their care. For the school or any other third party, send nothing without the family's agreement, and prefer a short letter that keeps only what is useful in class.

Right of access

People with parental authority can ask to access their child's record (article L1111-7 of the Public Health Code). For an adult patient, service-public.fr says documents are provided within 8 days of the request at the latest, or within 2 months if the information is more than 5 years old. Write every sentence as if the family will read it, because they can.

The structure, section by section

1. Identification and period

First name, surname, date of birth, age at the start and at the end of treatment. Give the dates of the first and last sessions, the setting (practice, home, school) and your professional details. One line per item is enough.

2. Initial reason and prescription

Say who prescribed the treatment, when and why. Restate in two or three sentences the findings of the initial assessment and what the family asked for. If the treatment is part of a PCO pathway, say so.

3. Goals of the treatment plan

List the goals set at the start, then any added along the way. For each one, say whether it is met, partly met or not met. If you wrote an individualised treatment plan, reuse its wording so the reader can follow the thread.

4. How treatment went

Session frequency and length, the approximate number of sessions and any breaks. Name the therapeutic media you used (motor games, relaxation, body expression, water, drawing and writing activities, pretend play) and say in one sentence why you chose them. Mention contact with the parents, the school or other carers.

5. Progress by area

Take each area in turn and describe what you see at the end, compared with the start.

• Muscle tone. Tone regulation, paratonia, ability to relax.
• Gross motor skills. Balance, coordination, ease of movement.
• Fine motor skills. Precision, finger dissociation, handling objects.
• Body schema. Knowledge and representation of the body, drawing a person.
• Laterality. Established dominance or not, knowing left from right.
• Spatial and temporal organisation. Finding one's way in space, rhythm, sense of time.
• Handwriting skills. Pencil grip, posture, strokes, legibility, fatigue.
• Emotional regulation. Coping with frustration, attention, relating to others.

Only fill in the areas that matter for this patient.

6. Final assessment results, if done

If you repeated an assessment, give the date, the tests used and the results you scored, compared with the initial assessment. If you did not, say so plainly. The full assessment can be attached.

7. Reason for ending

Goals met, end of the PCO package, family's decision, a move, a referral. Stick to facts. If the family stopped, note the date of the last session, what was said and your view on the decision, without judgement.

8. Follow-up and advice

Who you refer to and why, useful adjustments at school, activities to try at home. Say whether treatment could resume and under what conditions.

9. Signature

Name, profession, address, date and signature. Add the list of recipients.

A filled-in example

The example below is fictional. It contains no scores, because figures depend on the tests actually given.

Identification and period. Jade L., 6 years old at the end of treatment. Seen in private practice from January 2025 to June 2026, that is 18 months.

Initial reason and prescription. Treatment prescribed by her GP after a psychomotor assessment in December 2024. Her parents and her nursery school teacher (final year) described marked clumsiness, difficulty holding a pencil and frequent outbursts at the end of the day.

Treatment plan goals. Improve balance and coordination, met. Establish a functional pencil grip and basic strokes, met. Help Jade notice and ease her tension, partly met.

How treatment went. One 45-minute session a week, paused during school holidays. Therapeutic media used: motor circuits, throwing games, relaxation adapted for children, and drawing games on large sheets then on paper. Two meetings with the parents and one phone call with the teacher, with the family's agreement.

Progress. Jade moves with more ease. She hops on one foot and catches a ball with both hands, which she avoided at first. Her pencil grip is now stable and her letters are legible, though long copying tasks still tire her. Her right-handedness is established. She finds her way better on the page and through the week. She names her anger more often and accepts time to calm down, even if group situations remain hard for her.

Final assessment. Done in May 2026. The detailed report, with scored results compared with the initial assessment, is attached.

Reason for ending. The main goals are met. Ending agreed with the parents at the June 2026 meeting.

Follow-up and advice. No referral needed at this stage. We suggest a group sport chosen by Jade and short breaks during long writing tasks in class. Resuming treatment can be discussed with the doctor if writing fatigue gets in the way of learning in Year 2 (CE1).

Recipients. Jade's parents and her GP.

Common mistakes

• Copying out the assessment. The discharge report summarises. The detailed assessment goes in an appendix.
• Staying vague. "Progress in motor skills" tells the doctor nothing. A concrete example, like hopping on one foot, says more.
• Leaving out the reason for ending. It is often the first question from the doctor or the colleague who takes over.
• Saying nothing when the family stops. The report is still useful, and it also protects your record.
• Sending the same text to the school. With the parents' agreement, the school gets a shorter letter. See our letter to the doctor or school template.

Save time with Delta

Delta is the clinical assistant for mental health and allied health professionals. During the session, it transcribes what is said. After the session, you can also dictate your observations or add written notes. Delta then generates the session report and keeps the patient record up to date, with a summary of the treatment and the goals being tracked.

When treatment ends, that summary and those goals are already in the record. Delta also drafts letters, certificates and assessments, adapted to your profession. On the psychomotor therapists page, you will find the templates offered, including 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 from the structure above.

Delta does not calculate any score. It reuses the results you entered 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 and AI processing happens in France. The patient's name and identifying details are pseudonymised before the AI step. No audio file is kept and data is never used to train a model. The trial lasts 14 days, with no credit card. To learn more, read what is Delta.

Further reading

• Psychomotor progress assessment template
• Psychomotor therapy letter to the doctor or school
• Individualised treatment plan template
• Psychomotor therapy session notes
• Early intervention PCO report template
• All our clinical document templates

Sources

• French federation of psychomotor therapists, practising the profession
• French ministry, technical sheet on the TND early intervention package (2025)
• Provence-Alpes-Côte d'Azur regional health agency, TND assessment pathway sheet
• Service-public.fr, access to medical records