Or. Admin. Code § 848-040-0170 - Standards For Discharge Records

(1) Within 30 days following the patient's last scheduled visit or last contact, the physical therapist or physical therapist assistant shall document a final summary of the patient's physical therapy status upon discharge.

(2) The discharge summary shall include, but is not limited to:

(a) Date and reason for discharge, or self discharge, if known;

(b) Degree of goal achievement or reasons for goals not being achieved;

(c) Summary of the patient's status at the time of discharge; and

(d) Recommendations for follow-up care, if any.

Notes

Or. Admin. Code § 848-040-0170

PTLB 6-2004, f. & cert. ef. 12-29-04; PTLB 3-2017, amend filed 11/28/2017, effective 1/1/2018

Statutory/Other Authority: ORS 688.160

Statutes/Other Implemented: ORS 688.160, 688.010 & 688.210