What must be included in a massage therapy session record?

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The inclusion of a client's contact information, treatment plan, and notes on the service provided is essential for a comprehensive massage therapy session record. This ensures that the record is thorough and can be utilized for future sessions, continuity of care, and legal purposes.

Client contact information serves as a foundational element for communication and follow-up. It allows the therapist to reach out in case of any necessary updates or to schedule future appointments. The treatment plan outlines the goals and techniques intended for the client's care, providing a roadmap for the therapy sessions. Having detailed notes on the service provided is crucial for tracking progress, making adjustments to the treatment as needed, and addressing any issues that may arise during therapy.

Without all these components, the record may not adequately support the therapist's practice or protect both the client and clinician legally. This comprehensive approach aligns with best practices in healthcare documentation, ensuring that all relevant information is readily available and organized.

In contrast, the other options lack crucial elements that contribute to a well-rounded and effective session record, such as specific service notes or comprehensive contact details, which are vital for maintaining quality care and communication in the therapeutic relationship.

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