• Annual Therapy Practice Compliance Checklist Form

    Complete this annual checklist to document the therapy practice’s routine compliance review and note any follow-up items.

  • Practice Identification

  • Annual Compliance Review

  • License and credential review completed*
  • Client documentation process reviewed*
  • Privacy and confidentiality procedures reviewed*
  • Emergency procedures reviewed*
  • Staff training completion reviewed*

  • Review Notes and Submission

  • Checklist Completion Date
     - -
    2 digit month, 2 digit day, 4 digit year
  • Should be Empty:
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