I am trying to fine tune our providers documentation by education and one on one sessions. The question comes up with one provider that uses the patients forms for his documentation. Example: pt comes in for a physical, pt brings in a form like a scout phyiscal or a church physical form or insurance form etc. this provider uses this form as his note with no other documentation or even an indication that he reviewed the note. I am quite sure this is not acceptable but want to make sure before I approach him. He does sign and date the note but doesn't he have to state at the very least the he has reviewed the note or forms?