This rule applies to both conditional prescribing
psychologists and prescribing psychologists. A psychologist shall maintain a
cooperative relationship with the primary care provider who oversees a
patient's general medical care to ensure that necessary medical examinations
are conducted, the psychotropic medication is appropriate for the patient's
medical conditions, and significant changes in the patient's medical or
psychological condition are discussed.
(1)
Requirement for a primary care
provider. A patient must have a designated primary care provider who
engages in the practice of family medicine, internal medicine, neurology,
pediatrics, obstetrics and gynecology, or psychiatry in order for a
psychologist to have the ability to prescribe psychotropic medications to the
patient. If a patient does not have a designated primary care provider, a
psychologist shall refer the patient to a primary care provider prior to
prescribing psychotropic medications to the patient. A psychologist shall not
prescribe psychotropic medications to a patient until the patient has
established care with a primary care provider.
(2)
Requirement for a
release. A psychologist shall obtain a release of information from the
patient, or the patient's legal guardian when appropriate, authorizing the
sharing of the patient's health information between the psychologist and the
patient's primary care provider. A psychologist shall not prescribe
psychotropic medications to a patient who refuses to sign a release.
(3)
Cooperation and consultation with
primary care provider. A
psychologist shall contact each patient's
primary care provider on at least a quarterly basis and shall contact the
primary care provider to relay information regarding the care of a patient
whenever the following occur:
a. A
psychologist is considering adding a new psychotropic medication to a patient's
medication regimen. A psychologist shall not prescribe a new psychotropic
medication if the patient's primary care provider objects on the basis of a
contraindication.
b. A psychologist
is discontinuing or changing the dosage of a psychotropic medication.
c. A patient experiences adverse effects from
any medication prescribed by the psychologist that may be related to the
patient's medical condition.
d. A
psychologist receives the results of laboratory tests related to the medical
care of a patient.
e. A
psychologist notes a change in a patient's mental condition that may affect the
patient's medical treatment.
Notes
Iowa Admin. Code r. 645-244.7
Adopted by
IAB
January 16, 2019/Volume XLI, Number 15, effective
2/20/2019
Adopted by
IAB
July 24, 2024/Volume XLVII, Number 3, effective
8/28/2024
