I will be seeing a patient at home. Apparently he also has a twin brother but the ortho. recommended waiting on him to start therapy because of a “crib” appliance. Mom would like to discuss therapy for him when I get there – they are moving out of the country end of 2011 and she is anxious to start him as well. I advised her on the phone to call the ortho back up and discuss with him what she had just shared with me. I know that therapy should be one child at a time and I did ask that all distractions and siblings not be around during the eval. Just toss a few thoughts in on this one. So, as far as having some sort of a “formal” treatment plan for the patient to review and sign off on with my fees what would you suggest. I know you used the carbon copy pad to put their treatment plan on at the end of each therapy session. Is this what would be best even at the first visit? Coming from the dental field… everything was documented and treatment plans were given with signatures. If a patient denied the treatment plan there was another form to sign of refusal of suggested treatment. You are wonderful and you obviously take the time to reply every time I email you! Oh yea, I will be RELAXED!!! Cool as a cucumber 🙂 Thank you,
Hi , At some point, talk about the “crib” appliance and give her a copy of our statement on such appliances. You should have that among your class papers. True, you don’t want sibs there during your sessions. I never took the approach of signing off, etc. when I saw patients in their homes. Also, you were recommended by someone else, so I don’t think you have to be concerned with their denial of treatment plan. That’s their responsibility, not yours. Luckily we aren’t dealing with issues that make life or death difference or that will cause horrendous problems if they don’t want therapy. Use whatever papers YOU would want to see and sign if you were the parent of the child, etc. Personally, I’d start out with minimum intrusion and change with future clients as needed. But if you want to start out more “strict” and ease off, you can go that route….it just isn’t my style to do so. Best of luck Sandra