Proper documentation is essential and mandatory in the healthcare industry. Most doctors dislike documentation because it is time-consuming and they don’t know how to do it properly. Those in a high-volume practice like mine have an even greater struggle maintaining adequate records. In fact, I was once issued a two-year probation because the state board considered my documentation to be sub-standard. I was required to go through 48 hours of documentation courses, which became a blessing in disguise. The course gave me the knowledge and opportunity to create the best forms available for the easiest, most compliant documentation system in chiropractic.

These forms cover every point for maximum compliance, satisfying requirements for E/M codes, S.O.A.P., P.A.R.T., diagnosis codes, ADLs, ongoing goals, and progress reports. The forms are so easy to use that I have the patient complete portions of the form themselves. Our Certainty forms provide necessary documentation for patient history, exams, ADL, diagnosis, radiology reports, and re-exams. They are designed to be efficient, even for a high-volume practice. Use them as is, or in conjunction with any electronic documentation system by simply scanning and saving them in the patient’s electronic file.  The only task remaining for you is to enter your daily notes in the electronic system. Certainty forms are by far, the fastest, most efficient way to maintain adequate, compliant documentation. All doubt is eliminated when the patient’s own handwriting is seen on the form.