Free resource for PTs, OTs, PTAs,& OTAs
Document Skilled Care With More Confidence. Get the FREE Cheat Sheet.
Get practical documentation examples, skilled phrasing, and strategies to help you explain your clinical reasoning, justify skilled care, and connect interventions to functional goals.
- Skilled language that reflects your interventions and cueing
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Examples connecting treatment to functional goals
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Separate resources for adult and pediatric therapists
For adult therapists
Adults Skilled Care and Documentation Cheat Sheet
Skilled care strategies and documentation examples for PTs and OTs working with older adults.
For pediatric therapists
Pediatrics Skilled Care and Documentation Cheat Sheet
Activity-based treatment ideas and defensible documentation for pediatric PTs and OTs.
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YOU KNOW THE SKILL. NOW DOCUMENT IT CLEARLY.
You Know Why Your Treatment Was Skilled. Your Documentation Should Explain It.
- ย You know what you did during treatment, but explaining the skilled intervention takes longer than it should.
- ย Your notes describe the activity without clearly showing your clinical reasoning, cueing, or patient response.
- ย You want documentation that supports medical necessity without writing unnecessary details.
Our free documentation cheat sheets provide practical examples and skilled phrasing you can adapt to the care you actually provided.
What is inside
1
Skilled Documentation Examples
Find practical phrasing that explains your skilled interventions, cueing, and patient response.
2
Medical Necessity language
Learn how to connect your interventions to functional limitations and the need for skilled therapy.
3
Adaptable Clinical Examples
Use examples and strategies you can modify to reflect your patient's needs and treatment setting.
4
Quick-Reference Format
Keep a practical resource nearby when you need help explaining your skilled care.
Is this for me?
Whether you're a PT, OT, PTA, OTA, or student, choose the cheat sheet that matches your caseload.
Adults
For clinicians working with adults and older adults across SNF, home health, outpatient, and acute care.
Pediatrics
For clinicians working with children in outpatient, school-based, home-based, and early intervention settings.
Meet your creators
Created by PTs and OTs Who Understand Skilled Documentation.
We're Stephanie Mayer, PT, DPT, CRRS, and Nicole Poppert, MS, OTR/L, CRRS, the therapists behind The Note Ninjas.
With nearly 30 years of combined clinical experience, we've helped thousands of therapists strengthen their treatment planning and documentation.
We created these resources to help you clearly explain the skilled care you're already providing.
Stephanie & Nicole · The Note NinjasWhat therapists are saying
★★★★★
“Documentation is the worst part of the job, but it's the only part insurance cares about. The Note Ninjas helped me create a template I can reference quickly to complete my documentation.”
Derek · OT
★★★★★
“Not only has Note Ninjas streamlined my workflow, but it's also improved the clarity and consistency of my notes, which has been essential for communicating with colleagues and maintaining compliance with documentation standards. I highly recommend it to anyone looking to save time and improve their documentation skills.”
Kathy · PT
★★★★★
“I have been a Note Ninjas member since 2023, and I will say that this is the best thing that ever happened to me. Note Ninjas have really helped me with documentation tips and with treatment ideas. I would definitely recommend Note Ninjas to all. Keep up the good work!”
Josephine · OTA
Get Your FREE Skilled Documentation Cheat Sheet.
Choose the resource that matches your caseload and get practical examples you can start using with your next treatment session.
For adult therapists
Adults Cheat Sheet
PTs and OTs working with older adults.
For pediatric therapists
Pediatrics Cheat Sheet
PTs and OTs working with children.
No spam. Unsubscribe any time.
