Functional Capacity Assessment (FCA)

• Therapists, counselors, social workers
• In-person or telehealth sessions

You will receive worksheet templates formatted for easy printing and fully compatible with all PDF fillable software.

Your files will be available immediately after purchase — both on the checkout page and via a download link sent to your email. Quick and hassle-free access.

8 Page PDF Digital Download

Our Functional Capacity Assessment (FCA) handouts have been developed to support therapists and allied health professionals in completing thorough, structured assessments of an individual’s functional abilities across daily living, physical, cognitive, and psychosocial domains.

This editable FCA template is designed to assist with clear clinical documentation, formulation, and reporting, particularly where assessment outcomes inform support planning, return-to-work decisions, disability supports, or treatment recommendations. The Canva-editable format allows for easy customisation to suit different practice settings and reporting requirements.

All assessment sections included in this resource are designed to be comprehensive, clinically relevant, and easy to integrate into professional practice.

What does our functional capacity assessment template cover

This 8-page FCA resource includes structured sections to support clinicians to:

• Understand what a Functional Capacity Assessment is and when it is appropriate
• Document presenting concerns, injury or disability history, and referral reasons
• Record client demographic details and assessment context
• Assess Activities of Daily Living (ADLs), including personal care, household tasks, medication management, and community access
• Assess physical functioning, including mobility, transfers, stair use, and movement within the home
• Document formal strength and mobility assessments where relevant
• Assess cognitive and psychosocial functioning, including comprehension, memory, planning, mood, problem-solving, and social interaction
• Identify current supports, services, equipment, and aids in use
• Document risk factors and safety considerations
• Record client-directed goals
• Assess capacity in relation to role demands and return-to-work considerations
• Identify required adjustments, assistive technology, or workplace modifications
• Provide clear recommendations informed by assessment findings
• Summarise overall functional capacity and clinical conclusions

Who is our functional capacity assessment template for

Designed by a registered psychologist, this resource is ideal for psychologists, occupational therapists, physiotherapists, exercise physiologists, social workers, and allied health professionals who complete Functional Capacity Assessments.

Particularly suitable for use in disability, NDIS, return-to-work, compensation, aged care, and multidisciplinary settings, including situations where functional capacity is impacted by physical injury, psychological conditions, or combined biopsychosocial factors.

Appropriate for use across clinical, community, occupational, and rehabilitation contexts.

What you can expect from our therapy tools:

• Structured exercises designed to support skill-building
• Based on established, evidence-informed therapy modalities
• High-quality resources with responsive support
• Practical, engaging, and easy-to-use designs
• Inclusive and relevant content for diverse clients

Further information on My Thriving Mind:

This is a digital product, available for instant download after purchase. The files are delivered in PDF format, optimised for both printing and to be online fillable.

If you have any questions or concerns prior to, or after purchasing this product please do not hesitate to reach out to us directly via our contact page.