This rule applies to both conditional prescribing psychologists
and prescribing psychologists. A psychologist shall maintain a cooperative
relationship with the primary care physician 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 physician. A patient must have a designated primary
care physician 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 physician, a psychologist shall refer the patient to a
primary care physician 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
physician.
(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 physician. A psychologist shall not prescribe
psychotropic medications to a patient who refuses to sign a release.
(3)
Cooperation and consultation with
primary care physicians. A psychologist shall contact each patient's
primary care physician on at least a quarterly basis and shall contact the
primary care physician 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 physician 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. 653-19.5
Adopted by
IAB
January 16, 2019/Volume XLI, Number 15, effective
2/20/2019
