top of page
Documenting MUSTS
Concise and brief language -doesn't need to be full sentences
​Objective data -not interpretation
​
Reduce verbatim to key words
​
Sign your name and delegation (if therapist ie ATh, AThR)
​
Always make sure you label client artwork with name and date so it corresponds with notes
​
Every session note can be legally requested by the client or parent of the client
bottom of page