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How to fill a physiotherapy certificate

Practical guide to filling an ASD

The certificate of care provided (ASD) is an essential document for the reimbursement of physiotherapy services. Here is a practical guide to filling it out correctly.

Patient information

The first part of the certificate concerns patient information:

  • Last name and first name of the beneficiary
  • NISS number (national registry number)
  • Complete address

Provider information

You must also indicate your information:

  • Your last name and first name
  • Your INAMI number
  • Your practice address

Services performed

For each service, indicate:

  • The date of the service
  • The corresponding nomenclature code
  • The amount

With Kiné-Helper, all this information is automatically pre-filled, saving you valuable time.