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Arizona OT Documentation

What must be included in the patient record?

The Arizona Board of Occupational Therapy does not specify documentation requirements.  OTs and COTAs should follow payer guidelines.

What are the occupational therapist’s documentation responsibilities?


When is a reevaluation/reassessment required?


Unprofessional conduct related to documentation

Falsely claiming to have performed a professional service, billing for a service not rendered or charging or collecting an excessive fee for services not performed.

Falsifying client documents or reports.

Failing to document or maintain client treatment records or failing to prepare client reports within thirty (30) days of service or treatment.

Signing a blank, undated or unprepared prescription form.

Failing to maintain client confidentiality without written consent of the client or unless otherwise required by law.


A.R.S. ยง 32-3401

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