Transcription of Clinical Documentation & Recordkeeping
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Rev. 02/05/10 Page - 1 Standards for Clinical Documentation and RecordkeepingProtected by Common Law Copyright - Hillel Bodek, MSW, LCSW-R, BCD 1992, 2003, 2006, 2007, 2008, 2010 Permission to Reproduce for Educational Purposes is Granted Provided Attribution is IncludedCLINICAL Documentation AND RECORDKEEPINGBy: Hillel Bodek, MSW, LCSW-R, BCDC hairperson of the Committee on Ethics and Professional Standardsand the Committee on Forensic Clinical Social WorkNew York State Society for Clinical Social Work, The Purpose and Role of Clinical Documentation & Recordkeepinga. The Legal Mandate for Clinical Documentation in New York Stateb. Purposes of Clinical Documentationc. The Role of Clinical Documentation in Quality Assurance2.
legally mandated clinical documentation and record-keeping serve several important purposes, all of which are equally applicable to agency as well as private practice settings. The clinical record has an important place in assuring the quality of health and mental health services.
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