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    Occupational Therapist

    Documentation 205
    Documenting Reason for Referral: Health Condition and Participation


    • Identify and classify various aspects of documenting reason for referral, including a patient’s background information, health condition, medications, past medical history, social history/participation, and prior functional status
    • Explain the 3 key elements of describing a patient's current health condition
    • Discuss the implications of direct access for documenting medical diagnoses
    • Describe the process of conducting an interview to obtain information pertaining to gathering history data
    • Appropriately document elements of reason for referral based on case scenarios

    Joanne Brown, MS, OT, CHT

    Case Studies
    Downloadable Course in PDF

    $19.00 USD

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