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Virginia PT Supervision and Delegation 

Supervision Definitions

"Direct supervision" means a physical therapist or a physical therapist assistant is physically present and immediately available and is fully responsible for the physical therapy tasks or activities being performed.

What are the responsibilities of the physical therapist?

The physical therapist shall be responsible for managing all aspects of the physical therapy care of each patient and shall provide:

    • The initial evaluation for each patient and its documentation in the patient record;
    • Periodic reevaluation, including documentation of the patient’s response to therapeutic intervention; and
    • The documented status of the patient at the time of discharge, including the response to therapeutic intervention. If a patient is discharged from a health care facility without the opportunity for the physical therapist to reevaluate the patient, the final note in the patient record may document patient status.

The initial patient visit shall be made by the physical therapist for evaluation of the patient and establishment of a plan of care.

The physical therapist shall communicate the overall plan of care to the patient or his legally authorized representative and shall also communicate with a referring doctor of medicine, osteopathy, chiropractic, podiatry, or dental surgery, nurse practitioner or physician assistant.

The physical therapist shall be responsible for ongoing involvement in the care of the patient to include regular communication with a physical therapist assistant regarding the patient’s plan of treatment.


18 VAC 112-20-10

18 VAC 112-20-90

18 VAC 112-20-120

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