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Defensible Documentation Checklist
Use this checklist to audit documentation and perform quality checks in your clinic. Adapted from the APA, this list is intended
as a sample review checklist only.
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What is defensible documentation checklist?
The defensible documentation checklist is a tool used to ensure that all necessary information and evidence is documented in a clear and organized manner to support a particular decision or action.
Who is required to file defensible documentation checklist?
The individuals or entities responsible for a specific decision or action are typically required to file the defensible documentation checklist.
How to fill out defensible documentation checklist?
To fill out the defensible documentation checklist, one must carefully review the required information and evidence needed to support their decision or action, and then systematically document each piece in the checklist format.
What is the purpose of defensible documentation checklist?
The purpose of the defensible documentation checklist is to ensure that decisions or actions are well-supported with reliable and complete information, reducing the risk of challenges or disputes.
What information must be reported on defensible documentation checklist?
The information reported on the defensible documentation checklist typically includes dates, facts, evidence, decisions made, rationales, and any relevant communication records.
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