30 Miss. Code. R. 2635-13.7 - Medical Records
Any licensee who provides alternative therapy as a component of practice must, as with all other forms of practice, maintain a complete record which substantiates the care provided. Said record shall, at a minimum, include the following:
1. The medical
history and physical examination(s);
2. Diagnostic, therapeutic and laboratory
results;
3. Results of
evaluations, consultations and referrals;
4. Treatment objectives;
5. Discussion of risks and benefits;
6. Appropriate informed consent;
7. Treatments;
8. Medications (including date, type, dosage
and quantity prescribed);
9.
Instructions and agreements; and
10. Periodic reviews
Records shall be current and maintained in an accessible manner, and readily available for review and inspection.
Notes
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