A guide to help therapists document their services, presenting numerous filled-in forms as examples. Reflects changes in law and technology since the 1992 edition appeared, including many updated articles, new contributors, and new chapters on computerization and alternatives to documentation. The appendices have also been expanded to include essential Medicare forms and the third edition of the Association's Uniform Terminology. Annotation copyrighted by Book News, Inc., Portland, OR

Taking a global look at documentation in occupational therapy, this book examines both the technical, "how-to" aspect of all forms of clinical, school-based, and administrative documentation, and the ethical, legal, and language issues related to documentation. Soap notes as well as other forms of documentation are discussed throughout. Sections in this book include: Use of Language, Ethical and Legal Considerations ,Clinical Documentation, School System Documentation, and Administrative Documentation. There are also extensive appendices on AOTA Standards of Practice, AOTA Guidelines to Occupational Therapy Documentation, and AOTA Code of Ethics. This book can be used by students to learn about documentation and by clinicians to improve the quality of documentation in the field.

Documentation Manual for Occupational Therapy: Writing SOAP Notes, Fourth Edition presents a systematic approach to a standard form of health care documentation: the SOAP note.

This is a comprehensive textbook for the documentation course required in all Physical Therapy programs. The textbook incorporates current APTA terminology and covers every aspect of documentation including reimbursement and billing, coding, legal issues, PT and PTA communication, as well as utilization review and quality assurance. (Midwest).

Manual focusing on documenting the occupational therapy process. Each skill is broken down into small steps and taught individually. Includes a template for writing problems, goals, and each section of the SOAP note. Also includes practice worksheets and detachable checklist and summary.