Skip to main content

Thorough documentation is a benefit and protection for both patients and clients and the clinician. It gives needed information to all providers involved with the individual's care in order to make informed decisions.

For physical therapists and physical therapist assistants, high-quality documentation provides a real-time, historical account of encounters with patients and clients, which can be an important source of evidence if care is ever called into question.

Log in or create a free account to keep reading.

Join APTA to get unlimited access to content.

You Might Also Like...


Tips for Defensible Documentation

May 07, 2019

It helps to consider two questions: Why now? And why you?


Medicare Part B Documentation Requirements

Apr 30, 2019

The following summarizes the documentation requirements required under Medicare Part B.


Documentation Overview

May 18, 2018

Many PTs find it difficult to document effectively while providing patient and client care.