• Case Study Report Outline

    We are collecting case studies for students, teachers and practitioners to use to support their practice and teaching.  Zoom mentoring groups are also available (schedule coming soon) or go to our Mentors page if you would like one on one mentoring.  Thank you for your support!  
  • 1. ATTESTATION STATEMENT

  • 2. CLINICIAN INFORMATION

  • 3. PATIENT DEMOGRAPHICS


  • 4. THERAPEUTIC GOAL

  • 5. PATIENT SYMPTOM DATA:

  • 5A - POTENTIALY C19 RELATED

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  • 5B - 10 QUESTIONS (as applicable)

  • 5C OBSERVATION

  • 6. DIAGNOSIS DATA

  • 7. DETAILS OF FORMULA






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  • 8. TREATMENT REGIMEN

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  • 9. OTHER COMPONENTS OF TREATMENT

  • 10. OUTCOMES

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  • GENERAL COMMENTS

  • Should be Empty: