Clinical record

Clinical Record — anything that contains information (in any media) that has been created or gathered as a result of any professional encounter, aspect of care, or treatment by a physical therapist or a person working under the supervision of a physical therapist. It may also include information created or gathered by other health care providers.  [1]

References

Chartered Society of Physiotherapy. Record keeping guidance. PD061 version 3. London, UK: CSP; 2016. http://www.csp.org.uk (Access date 10th March 2017)

College of Physiotherapists of Ontario. Standards for practice for physiotherapists: Standards for professional practice - record keeping. Toronto, Canada: College of Physiotherapists of Ontario; 2009. http://www.collegept.org/Assets/registrants'guideenglish/standards_framework/standards_practice_guides/GuideRecordKeeping.pdf?AspxAutoDetectCookieSupport=1 (Access date 4th March17th November 2013)