Description

Effective documentation is essential for patient care, clinical clarity, and practice protection. This 2-hour course introduces chiropractors to the core principles of proper documentation, focusing on the elements needed to support medical necessity and continuity of care.

You’ll learn how to accurately document initial visits, including the patient’s chief complaint, history, and diagnosis, and how to develop a comprehensive treatment plan that aligns with clinical findings. The course also covers how to track and document patient progress over time to support ongoing care decisions or justify the need for additional treatment.

What you’ll gain:

Best practices for documenting initial evaluations and diagnoses

Guidance on building and recording structured treatment plans

Techniques to track patient progress and outcomes effectively

Tools to improve consistency, compliance, and clarity in clinical notes