Record Keeping FAQs

Check out the Record Keeping frequently asked questions and videos.

FAQs—Record Keeping

  • How long should records be kept?

  • Are abbreviations acceptable for physiotherapists to use in patient records?

  • Do I need to sign my full name and title every time I make an entry?

  • How often do I need to chart?

  • How should I reference documents that are not part of the patient record?

  • If a record is converted from paper to an electronic format does the original paper copy need to be kept?

  • My patient has asked for a copy of their patient record. How much can I charge for providing a photocopy?

  • What do I need to consider when using abbreviations, care maps, exercise flow sheets, or charting by exception in patient records?

  • What information should be in the financial record?

  • What information should be included in a discharge summary or end of care note?

  • Where should patient records be kept for PTs who retire?

Can't find the answer to your question? Contact the Practice Advisor
practiceadvice@collegept.org
647-484-8800
1-800-583-5885 ext. 241