Physiotherapy prevention assessment in France: form and PPP
Physiotherapy prevention assessment: sections of the screening form and PPP, RDI billing code and Markus templates to write them after the consultation.
Since 1 October 2026, physiotherapists can carry out the prevention assessment of the Assurance Maladie (French national health insurance). It produces two documents: a risk screening form, which the professional may choose to complete, and a personalised prevention plan (plan personnalisé de prévention, PPP), written together with the patient. This article describes their sections, what the assessment allows you to bill, what it must not become, and how Markus drafts these two documents from the consultation.
No patient case appears here, real or invented: only structures and wordings published by the authorities are reproduced, with their source, and any adaptations of our own are flagged as such.
What physiotherapists can do since 1 October 2026
Who: doctors, midwives, nurses, pharmacists and physiotherapists can carry out these interviews (order of 28 July 2026, article 4). The Assurance Maladie specifies that physiotherapists do so from 1 October 2026 [1][3].
For whom: people aged 18-25, 45-50, 60-65 and 70-75, limits included [2][3].
How long: a planned duration of 30 to 45 minutes, in three stages: screening of risks, joint prioritisation of one or two topics, writing of the PPP [1].
Billing code: act code RDI, €30 in mainland France and €31.50 in the overseas departments and regions, with no extra fee, 100% reimbursed by the Assurance Maladie. The assessment can be billed only once per person and per age group, whichever professional carries it out [1][3]. According to the order, it can be billed only by physiotherapists who have joined the national agreement [3].
Combination: no other act or surcharge on top. Only travel expenses remain billable when the assessment takes place at the patient's home, under the terms of your agreement [1][3].
Formalities: no registration is required to carry out assessments; listing in the santé.fr directory is optional [1].
The two documents of the assessment
| Document | Purpose | Who completes it | Who receives it |
|---|---|---|---|
| Risk screening aid form (fiche d'aide au repérage des risques) | Record risk factors, measurements and topics to explore. The professional "may choose to complete it" [2] | The healthcare professional [5] | The treating doctor, when it is completed, unless the patient objects [1][2] |
| Personalised prevention plan (PPP) | Set one or two priorities and the concrete actions to keep to them | The patient and the professional, in shared writing [4] | The patient, who co-wrote it, and the treating doctor unless the patient objects [1][4] |
The patient can also fill in a self-questionnaire before the appointment. It is optional: the assessment can take place without it [1].
The screening form: the sections, age group by age group
The four forms published by the Assurance Maladie share a common core, then differ by age. The core: personal situation (occupation, history, treating doctor), social and family environment, current state of health, mental health, physical activity and sedentary behaviour, diet, addictive behaviours, sexual health, violence, health pathway (vaccinations and screenings), health and environment, the professional's comments, then the shared decision: "priority topic(s) for the brief intervention (1 or 2)" [5].
| Age group | What is added to the core |
|---|---|
| 18-25 | Method of contraception, severe lower abdominal pain during periods, screening for eating disorders, screening for endometriosis |
| 45-50 | Menopause symptoms, cough or breathlessness, sleep apnoea, organised breast and colorectal cancer screening |
| 60-65 | Screening for loss of autonomy (ICOPE programme), fall risk factors, osteoporosis, suspected AMD, in addition to the menopause, cough and sleep apnoea sections |
| 70-75 | Sections close to those for 60-65, without the menopause symptoms, with spinal or femoral neck fractures |
From the age of 60, the Assurance Maladie presents the assessment as "the ideal moment to talk about ICOPE": this WHO programme tracks six key functions (memory, nutrition, vision, hearing, well-being, mobility) [1]. For physiotherapists, mobility, falls and physical activity are familiar ground; the form also asks you to note items that fall under other professions, which you refer on without taking them on yourself.
The personalised prevention plan: five sections
The PPP is identical for the four age groups. It has five sections: health priorities, obstacles encountered, advice and practical arrangements, resources and professionals involved, and follow-up arrangements [4]. It ends with a box that the patient ticks if they object to the document being sent to their treating doctor [4].
Priorities must be realistic and limited in number [4]. The official booklet gives an example of a first-person wording: "I would like to limit processed and sugary products in my diet in favour of healthier, cheaper home-cooked meals" [2]. It is only an example on diet: it is up to you to write the patient's own priorities with them.
Empty structure, adapted from the official model: the patient, date and professional fields are our own, and the obstacles are those cited in the booklet [2].
PERSONALISED PREVENTION PLAN
Patient: [surname, first name] · Date: [date]
Professional: [name, profession]
My health priorities (one or two, realistic)
1. [worded by the patient]
2. [worded by the patient]
Obstacles encountered
[for each priority: socio-economic obstacles, lack of time, environmental, cultural or motivational obstacles]
Advice, practical arrangements
[for each priority: a few specific actions, agreed during the consultation]
Resources and professionals involved
[documents, organisations, professionals mentioned during the consultation]
Follow-up arrangements
[next contact, appointment with the treating doctor, self-monitoring]
[ ] I object to this document being sent to my treating doctor.Where possible, the booklet recommends encouraging the person to complete by hand the interventions planned in the PPP themselves, rather than handing it over already written at the end of the interview [2]. The PPP is a document shared with the patient, before it is an item in the record.
What the assessment is not
Not a treatment. The assessment "is not intended to meet an identified care need"; if an unmonitored or unknown condition is suspected, the patient is referred to their treating doctor or another doctor [2].
Not an act to build on. Nothing can be billed on top of the assessment, apart from travel expenses [1][3].
Not an automatic transmission. The PPP and the form must be sent to the treating doctor, unless the patient objects, by secure messaging, via the DMP (shared medical record) or by the patient themselves [1]. Direct filing from the practice software is not yet widespread for physiotherapists: the official booklet announces a software upgrade by 2028 [2].
Markus templates to write the form and the PPP
Markus offers five templates for this assessment, filed under the Assessment category: one screening form per age group ("Bilan prévention · 18-25 ans", "Bilan prévention · 45-50 ans", "Bilan prévention · 60-65 ans", "Bilan prévention · 70-75 ans") and the personalised plan ("Bilan prévention · Plan personnalisé (PPP)"). These are writing aids produced by Markus from the documents published by the Assurance Maladie, of which Markus is neither the publisher nor a relay: they take up the essentials, they do not replace them, and you can always use the official documents.
You choose the template matching the person's age, and Markus fills it in from the consultation. Markus drafts, it does not decide: the document is a draft that you review, correct and validate before signing it. Each template gives the model filling rules, the main ones being:
Add nothing. The instruction is to record only what appears explicitly in the consultation, to copy values as they were given, with the same unit, without conversion or rewording, and to mark an entire section that was not covered as "Non abordé" (not discussed) rather than completing it.
Sensitive topics remain the patient's choice. For sexual health and violence, the instruction is to write only what the patient chose to say, without naming a perpetrator or characterising a fact in legal terms.
Reminders, not prescriptions. For vaccinations and screenings, the template does not include the "vaccine administered" or "prescription issued" fields: it presents the reminders and referrals that you gave towards the treating doctor.
Each document keeps its function. The action plan, obstacles and resources belong to the PPP, not to the screening form. The box for objecting to transmission to the treating doctor is in the PPP: the instruction is to tick it only if the patient has expressed their objection, which you check with them, and it remains legible when the document is exported to PDF or Word.
Keeping this writing time manageable
A 30 to 45 minute assessment that ends with two documents is a time of conversation that is doubled by a time of writing. Three practical pointers. The first two follow from the scheme itself: note the patient's own words for the priorities rather than rewording them, and let the patient write their actions when they can. The third is our own: record in the form only what the consultation actually covered, a topic not addressed remaining marked "Non abordé", since the form is a screening aid that you may choose to complete.
Markus helps physiotherapists transcribe their consultations and write their reports. Discover Markus for physiotherapists. For the other everyday documents, see also our guide to the physiotherapy report: assessment and letter templates.
Sources
- Assurance Maladie, "Mon bilan prévention pour les masseurs-kinésithérapeutes" (accessed 9 October 2026).
- "Livret de présentation de Mon bilan prévention", published on ameli.fr (PDF dated 29 July 2026).
- "Arrêté du 28 juillet 2026 relatif aux effecteurs, au contenu et aux modalités de tarification des rendez-vous de prévention", JORF no. 0179 of 2 August 2026, text on Légifrance (articles 3, 4 and 5, accessed 9 October 2026).
- Assurance Maladie, "plan personnalisé de prévention" (identical model for the four age groups).
- Assurance Maladie, "fiche d'aide au repérage des risques" (one form per age group, 45-50 linked).
