Policy statement: Physiotherapy documentation and records management

World Physiotherapy aims to improve the quality of

Global health: An area for study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. Global health emphasises transnational health issues, determinants, and solutions; involves many disciplines within and beyond the health sciences and promotes interdisciplinary collaboration; and is a synthesis of population based prevention with individual-level clinical care.

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service delivery by strengthening agreed professional standards that recognise the importance and legal requirement for accurate and comprehensive and records.

Documentation: The process of recording of all aspects of patient/client care/management including the results of the initial examination/assessment, evaluation, diagnosis, prognosis/plan, intervention/treatment, response to intervention/ treatment, changes in patient/client status relative to the intervention/treatment, re-examination, and discharge/discontinuation of intervention and other patient/client management activities.

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and records management include keeping, storage, retrieval and disposal. Physiotherapists have a professional and legal obligation to document and maintain as appropriate up-to-date / record.

To support implementation, you can access the World Physiotherapy  guideline on documentation and record management.

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Policy statement in multiple languages

Policy statement cover thumbnail: Documentation and records management

Physiotherapy documentation and records management

English

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Policy statement cover thumbnail: Documentation (in Japanese)

理学療法の文書と記録管理

Japanese

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policy statement: documentation and records management (French)

Documentation et gestion des dossiers en kinésithérapie

French

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