Client Visit Documentation

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Documenting Client Visits

  • Home therapy plan
    • Give your client documentation to take home for their home therapy plan
    • Include descriptions and photos if possible
    • Include exercises, asanas, pranayama, meditations, and any tools you recommend such as specific essential oils, gemstones, etc.
      • You may not have every document ready at the 1st visit but plan to give as much as you can (see Plan 3 Take-Aways)
        • Have full program documentation ready by 2nd visit
  • Keep copies of client files for yourself so you have a baseline to which you may refer
    • Allows you to keep up with progress
    • You don’t want to ask client, “What did I ask you to do?” so you need to have a record
  • Keep client information confidential
    • Treat as you would HIPPA data (Google for more information)
    • Do not expose data to 3rd parties
    • Keep physical data under lock and key
    • Keep electronic data encrypted or password protected

 

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