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Medical Documentation

Patient card, therapy plan, treatment register - mandatory physiotherapist documentation. Ready-made templates and checklists to download.

Patient Record: Software or Word Template?

Your software has its own visit template. How to compare it with the elements of the individual physiotherapy care record, and when a Word template helps.

Finezjo: What It Covers, What It Misses

Finezjo is a free app from the Polish Chamber of Physiotherapists. What does it include and which practice documents must you prepare outside it? 2026.

Adverse Events in Physiotherapy

Fainting during treatment or a burn from a modality: how to log an adverse event so the entry documents the facts instead of reading as an admission.

The Patient Health Interview

PESEL, conditions, medications, occupation: which data in a health questionnaire is legally required, which is clinically justified and which is excess.

A Patient Requests Their Medical Records

Who can request medical records, in what form to release them, within what deadline and how much it costs. When you may refuse and which mistakes to avoid.

Authorization to Access Medical Records

Template for authorizing access to medical records and health information in Poland: form fields, withdrawal, family without authorization, access after death.

Dry needling and manual therapy

Can a physiotherapist perform dry needling and manual therapy? Required courses, informed consent, procedure records, liability insurance and adverse events.

Electronic medical documentation (EDM)

Mr. Tomasz has run a physiotherapy practice in Poznan for seven years. Until now, patient records lived in binders and the treatment log was a notebook.

Working with doctors

Does a physiotherapist need a doctor's referral? Professional independence, NFZ referrals, documenting cooperation. A 2026 guide.

Patient consent to a physiotherapy

When verbal consent is enough and when you need it in writing, what a valid consent must contain and why information about risk is the element that decides.

Medical Documentation in Physiotherapy

As a physiotherapist, you don't just perform treatments. You also keep medical documentation -- and that's a legal requirement, not an option.

First Patient Visit Documents

GDPR notice, patient record, procedure consent, authorization and additional consents - the order to collect documents at a first visit.

Your EMR System Crashes Mid-Day

An EMR outage does not suspend your duty to document a visit. What to write on paper as a minimum and how to move it back into the system once it is restored.

Extended Informed Consent

When a standard verbal treatment consent isn't enough and the law requires written form - shockwave therapy, dry needling, HVLA manipulations.

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