Step by step, this text/workbook introduces you to the importance of documentation and shows you how to develop and write a proper and defensible note for all forms of reimbursement. Review questions and practice exercises help you remember must-know information and examples of appropriate and inappropriate notes show what and what not to do. You'll also explore the important issues of patient confidentiality, HIPAA requirements, and the ever-increasing demands of legal and ethical practice in a litigious society. And, all the terminology adheres to the upcoming and newly revised APTA's Guide to Physical Therapy Practice.