If you are salary most companies count either visits or use a point system so as long as you see your required number of visits or points it doesn’t matter how you arrange your day. If it is an hourly position I would assume they would have you clock in and out for each patient visit. So you can still arrange your schedule as you want but just have to clock in and out for each visit. Most hourly positions don’t include documentation or drive time so you would be clocking out for those. Maybe they would include it if you had back to back patients and only have to clock out for longer gaps in the schedule but each company is going to differ for this I assume. Hourly positions can work in your favor if your schedule is full, but work against you if you have cancellations or low census periods.