Sec. 38a-199-5 - Records

ยง 38a-199-5. Records

(a) There shall be a medical or dental records department with adequate space and equipment and qualified personnel.

(b) A medical or dental record shall be started for each patient at the time of admission, including proper identifying data. Medical and dental records shall include sufficient information to justify the diagnosis and warrant the treatment given. Each entry shall be signed by the person responsible for it.

(c) Medical and dental records shall be filed in an accessible manner in the clinic, with proper provision for their confidentiality, and shall be kept for a minimum of five years after discharge of the patient.

(Effective September 25, 1992)

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