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Texas PT Supervision and Delegation

Supervision Definitions

On-site supervision--The physical therapist or physical therapist assistant is on the premises and readily available to respond.

Supervision--The delegation and continuing direction by a person or persons responsible for the practice of physical therapist, physical therapist assistant, or physical therapy aide as specified in the Physical Therapy Practice Act.

Which services can only be performed by a PT?

The PT’s professional responsibilities include, but are not limited to:

    • Performance and documentation of the initial physical therapy examination and evaluation of the patient;
    • Interpretation of the practitioner's referral;
    • Development and documentation of a plan of care;
    • Implementation of, or directing implementation of, the plan of care;
    • Delegation of tasks to appropriate personnel;
    • Direction and supervision of the PTA and physical therapy aide;
    • Completion and accuracy of the patient's physical therapy record;
    • Performance and documentation of the reexamination and reevaluation of the patient as described in this section; and when necessary, modification of the plan of care;
    • Discharge of a patient or discontinuation of treatment;
    • Development of any follow-up plan for the patient; and
    • Collaboration with members of the health care team when appropriate.

What are the responsibilities of the PT when delegating?

The PT holds primary responsibility for physical therapy care rendered under his supervision.


22 Tex. Admin. Code §321.1

22 Tex. Admin. Code §322.2

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