Occupational Therapy Insights

Guidelines for Documentation of Occupational Therapy


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Documentation of occupational therapy services is required whenever professional services are provided to a client.1 Occupational therapy practitioners2 identify the types of documentation required and record all necessary components of services provided within their scope of practice. This document, based on the Occupational Therapy Practice Framework: Domain and Process (3rd ed.; American Occupational Therapy Association [AOTA], 2014b), describes the purpose, types, and content of professional documentation used in occupational therapy.

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Occupational Therapy InsightsBy Dr. Frederick B. Covington

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