Record Keeping

Record keeping is a professional duty in any holistic health practice and a required component of NHPC members' responsibility for diligent care.

NHPC record keeping guidelines are consistent with two-year, 2200-hour curriculums and the regulatory colleges for massage therapy in Canada.

Health History and Intake Forms

Health history and intake forms provide valuable information to determine the best treatment for the client. They must include the following:

• general client information
• comprehensive health history
• details of client assessment
• full treatment plan
• signed and dated informed consent form

Treatment Documentation

It is important for practitioners to document all aspects of a client's treatment, including the following:

• detailed treatment/clinical/SOAP notes
• attendance and financial information
• billing details and CLHIA-compliant receipt writing