Speech-language pathology and audiology professionals in all positions and settings are responsible for maintaining ongoing and complete documentation of the clinical services they provide. Record keeping creates and maintains a record of events pertaining to each client. Clear and comprehensive record keeping facilitates communication between care or treatment providers and interdisciplinary team members, protects both clients and providers, justifies the need for treatment, and documents the results of treatment.

Statutory/Other Authority

ORS 681.420(5) & 681.460

Statutes/Other Implemented

ORS 681.420

History

SPA 2-2004, f. & cert. ef. 5-26-04