Recovery TLV — Clinical Intake Decision

This form implements the Clinical Decision System. Each case must terminate with one of six valid outputs.

Step 1: Red Flag Screening

Are any of the following present?

Progressive neurological deficit or cauda equina signs
Unexplained weight loss, night pain, fever, history of malignancy
Signs of DVT, vascular compromise, or acute ischaemia
Suspected fracture, joint instability, or infection

Reference: red-flag-referral.md

Step 2: Scope Assessment

Is there a clear musculoskeletal component within physiotherapy scope?

Musculoskeletal dysfunction (pain, stiffness, weakness)
Post-injury or post-operative rehabilitation
Sports injury recovery
Neuromotor re-education within physiotherapy scope

Step 3: Data Sufficiency

Is there sufficient clinical data to make a treatment decision?

Consider: Is the patient in an acute phase? Are there unresolved diagnostic questions? Is additional imaging or specialist input needed before proceeding?

Step 5: Goal Assessment

Are the patient's goals functional (not pain-only)?

Functional goals: "I want to return to running," "I need to lift my child," "I want to climb stairs without assistance." Pain-only goals ("I just want the pain to stop") without functional context are insufficient.

REFER

Case Transferred to Specialist

Document: the red flag identified, the referral destination, and the date of referral.

DECLINE

Case Not Accepted

DEFER

Decision Postponed

TRIAL

Case Accepted — Conditional Trial

At the end of the trial window (3–5 sessions), evaluate using continuation-criteria.md.