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...


Informed Consent: What PTs Need To Know

Apr 1, 2021

Understand your legal obligations to your patients.


Clinical Decision-Making in Physical Therapist Practice

Jul 31, 2020

Access considerations, guidelines, tools and resources to help you with general clinical decision-making in physical therapist practice.


Tips for Defensible Documentation

May 6, 2019

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