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Guidelines for Documentation of Occupational TherapyDocumentation of occupational therapy services is necessary whenever professional services are provided to a client. Occupational therapists and
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What is documentation of occupational therapy?
Documentation of occupational therapy is a written record of the evaluation, treatment, and progress of a patient receiving occupational therapy services.
Who is required to file documentation of occupational therapy?
Occupational therapists and occupational therapy assistants are required to file documentation of occupational therapy for each patient they treat.
How to fill out documentation of occupational therapy?
Documentation of occupational therapy should be filled out accurately and completely, including details of the evaluation, treatment plan, progress notes, and any changes in the patient's condition.
What is the purpose of documentation of occupational therapy?
The purpose of documentation of occupational therapy is to track the patient's progress, communicate with other healthcare providers, justify treatment plans, and demonstrate the effectiveness of occupational therapy services.
What information must be reported on documentation of occupational therapy?
Documentation of occupational therapy should include the patient's personal information, evaluation results, treatment goals, intervention strategies, progress notes, and discharge summary.
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