Psychomotor therapy letter to a doctor or school: template

A psychomotor therapy letter to a doctor or a school is a short document that passes on what the assessment or the therapy has shown, to the person who needs it in order to act. For the doctor, it reports back on the prescription. For the teacher, it explains what the child experiences in class and what can help.

These are two different letters for two different readers. The doctor expects a clinical summary and a plan. The teacher expects practical ideas for the classroom, without technical vocabulary or medical detail. This page gives you an outline for each, two short examples, and the points to watch on professional confidentiality. It follows the French framework.

What this document is for

The letter to the doctor closes the loop on the prescription. The doctor asked for a psychomotor assessment. They need to know what you observed, whether therapy is proposed, and whether they should act, for example by referring for another assessment or a specialist opinion. The letter goes with the assessment report, or sums it up when the doctor does not need to read all of it.

The letter or note to the school has another purpose. It helps the teacher understand why the child takes a long time to write, gets lost on the page or tires quickly. It suggests simple adjustments. It can also feed into a school team meeting, a request for a personalised support plan (PAP) or an MDPH file.

In both cases, the letter does not replace the assessment report. It picks out what is useful to the reader.

The framework

Prescription and reporting back

Psychomotor therapists in France work on a doctor's prescription. The French federation of psychomotor therapists says so on its page about practising the profession, which names article R4332-1 of the Public Health Code as the text that governs practice. In practice, the assessment report therefore goes back to the prescribing doctor. If the prescriber is not the family doctor, send a copy to the family doctor when the family agrees.

The PCO pathway

When the child is followed in the early assessment and intervention pathway run by the coordination and referral platforms (PCO), the national assessment pathway fact sheet (interministerial delegation for autism and neurodevelopmental disorders, June 2020) states that reports must be sent to the family, the family doctor and the platform. Keep these three readers in mind from the start.

Professional confidentiality

Professional confidentiality covers everything you know about the child and the family (article L1110-4 of the Public Health Code). Health professionals who care for the child can share the information strictly needed for that care, unless the family objects. The school is not part of the care team. You only pass on what the parents agree to, ideally through them. Describe needs and adjustments. Leave out diagnostic hypotheses, family history and test scores.

PAP and PPS

The PAP is for pupils whose lasting school difficulties come from learning disorders. According to Eduscol, the school doctor confirms the disorders and gives an opinion, drawing where needed on psychological and paramedical assessments. Your letter can help that doctor, always through the parents. The personalised schooling project (PPS) is for pupils recognised as disabled by the MDPH, and the CDAPH decides on the measures, as Mon parcours handicap explains.

The outline, section by section

For the doctor: identification

Your details, the doctor's details, the date. The child's first name, surname and date of birth. A clear subject line, such as "Psychomotor assessment of Noah B.".

For the doctor: the prescription

The date of the prescription and the reason as the doctor wrote it. One sentence is enough. It shows you are answering their question.

For the doctor: assessment summary

Five to ten lines. The areas assessed, the main difficulties and the strengths. If you quote test results, use the ones you scored, with the name of the test. Refer to the full report attached.

For the doctor: plan

Therapy proposed or not, planned frequency, main goals, date of the next review. If you wrote an individualised treatment plan, mention it.

For the doctor: requests

What you would like from them, if anything. An orthoptic assessment, a paediatric neurology opinion, a speech therapy assessment, a renewed prescription. Put it as a suggestion, since the decision is theirs.

For the school: parents' agreement

Start with a sentence saying that the letter is sent with the parents' agreement, and that they have read it. This is the first thing the teacher needs to know.

For the school: what the child experiences in class

Describe what can be seen, in plain words. "He takes a long time to copy", "she tires quickly when writing", "he finds it hard to see where to start on the page". Avoid assessment vocabulary.

For the school: strengths

What the child does well, what motivates them, what already helps. The teacher will use this as much as the difficulties.

For the school: needs

Two or three needs, written from the child's side. More time for written tasks, less copying, visual cues, short breaks.

For the school: suggested adjustments

• Fine motor skills. Adapted tools such as pencil grips or thicker pencils, easy scissors, materials within reach.
• Handwriting. Less copying, printed handouts, accept shorter written work, mark content more than form.
• Spatial organisation. Coloured lines or margins, one exercise per page, a marked starting point.
• Attention. Short instructions given one at a time, a seat near the board, brief breaks.
• PE. Break movements down, show before doing, value taking part more than performance.

Suggest, do not impose. The teacher knows the class and will choose what is workable.

For the school: what you do not pass on

Scores, diagnostic hypotheses, history taking, family circumstances, other care the parents have not mentioned. If the school needs a medical opinion for a PAP, the parents go to the school doctor.

Signature and availability

Your name, your title as a state-qualified psychomotor therapist, your contact details. One sentence saying you are available to talk, with the parents' agreement, or to join a school team meeting.

Two filled-in examples

Noah B. is a fictional child. The details below are made up and kept short.

Letter to the doctor

Dear Doctor,

You referred Noah B., aged 8, in his third year of primary school, with a prescription dated 2 September 2026, for a psychomotor assessment of coordination and handwriting difficulties.

The assessment, carried out over two sessions, shows difficulties with gross and fine coordination, slow and effortful handwriting, and fragile spatial organisation on the page. Muscle tone and laterality call for no particular comment. Noah is cooperative, attentive one to one, and very engaged in building games. The tests and results are detailed in the attached report.

I propose weekly therapy focused on coordination, handwriting and spatial organisation, with a review in six months. An orthoptic assessment could complete the picture, if you think it useful.

I remain available. Kind regards.

Note to the school

Dear Madam,

I see Noah B. for psychomotor therapy. His parents have read this letter and asked me to pass it to you through them.

Noah needs more time than his classmates to write, and writing tires him quickly. He sometimes finds it hard to find his way on the page. He is curious, likes hands-on tasks and understands well when he is shown.

A few ideas that may help. Reduce copying when possible, for example with handouts. Mark the starting point on the sheet. Give instructions one at a time. In PE, show him the movement before asking him to do it.

I am happy to talk with you if his parents wish. Kind regards.

Common mistakes

• Sending the same letter to the doctor and the school. The doctor needs clinical content, the teacher needs classroom ideas.
• Passing scores or a diagnosis to the school. This information stays within care.
• Writing to the school without the parents' agreement, or before they have read the letter.
• Leaving out the prescription reminder. The doctor receives many letters and needs to find theirs quickly.
• Promising adjustments. The PAP and PPS are for the school, the school doctor or the MDPH to decide.
• Writing three pages. The detail belongs in the assessment report.

Save time with Delta

Delta is the clinical assistant for mental health and allied health professionals. After the assessment, you dictate your observations, or Delta transcribes what is said during the session. It then drafts letters, certificates and assessments adapted to your profession.

The Delta page for psychomotor therapists lists 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 a school note based on the outline on this page. Delta does not calculate any score. It keeps the results you entered or dictated as they are.

Data is hosted in France by an HDS-certified host. The patient's name and identifying details are pseudonymised before the AI, and no audio file is kept. Delta does not handle scheduling or billing. You can try it for 14 days without a credit 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.

Further reading

• Psychomotor assessment report template
• Psychomotor progress assessment template
• Psychomotor therapy discharge report template
• AI report software for psychomotor therapists
• What is Delta? and our clinical document templates

Sources

• French federation of psychomotor therapists, practising the profession
• National PCO assessment pathway fact sheet, June 2020, hosted by ARS PACA
• Eduscol, setting up a personalised support plan
• Mon parcours handicap, school support options