This lecture/lab course is an introduction to medical note writing. Documentation requirements for both the clinical and school-based areas of occupational therapy practice are emphasized. AOTA guidelines, legal and reimbursement guidelines and an analysis of documentation formats are included. Written and oral communication skills including mechanics in note writing such as spelling and grammar as well as proper word usage are practiced. Uniform terminology, practice framework and the impact of OT models and frames of references are also addressed. Prerequisites: All fall semester first year courses. Corequisites: All spring semester first year courses. (S-first year)