Or. Admin. Code § 817-015-0065 - Client Records
(1) A practitioner
providing esthetic services is responsible for collecting and maintaining
copies of client records. If client records are maintained by the facility, the
facility license holder must provide the practitioner who is providing the
service, with copies of those client records upon request. The record must
include:
(a) Client information including the
client's name, address, telephone number, type of service, date of birth, and
date of service.
(b) The name of
the practitioner and practitioner certificate number who is providing the
service, and special instructions or notations pertinent to providing esthetic
services including, but not limited to, bleeding disorders, allergies or
sensitivities to chemicals or products or complications during
service(s).
(c) Medical advice, if
obtained.
(2) Client
records must be kept at the facility for a minimum of three years and must be
made available upon request from the Office.
(3) Client records must be typed or printed
in a legible format and may be stored electronically. Client records that are
not readable by the Office will be treated as incomplete.
(4) If a practitioner is acting in a dual
capacity and providing services outside their scope of practice, the capacity
under which the person is working must be clearly documented in the client's
record.
(5) If providing chemical
peels or dermaplaning, or performing services with an esthetics device or with
an esthetics device that is not one of the devices listed in ORS
690.005, the esthetician must
document:
(a) Location of procedure on the
body.
(b) Special instructions or
notations relating to the client's medical or skin conditions.
(c) Complete list of the client's
sensitivities to medicines or topical solutions.
(d) Description of complications during
procedure(s).
(e) Any referral to a
health-care professional.
(f) If
providing chemical peels, the chemical used on the client, including the brand
name or manufacturer, type of chemical peel, process of applying very
superficial or superficial peel including number of layers of chemical peel
solution, the length of time the chemical is left on the client's skin, pre-
and post-treatment care.
(6) For the purpose of procedures listed in
subsection (5) of this rule upon initial visit the practitioner must obtain
signature from the client that they have received and understand the following
information and consent to the nonablative esthetic procedure:
(a) Explanation of procedure.
(b) Risk(s) of the procedure.
(c) Description of potential complications or
side effects.
(d) Adverse
outcomes.
(e)
Contraindications.
(f)
Alternatives.
(g) Aftercare
instructions.
(7)
Following initial visit referenced in subsection (6) of this rule and if for
the same procedure a practitioner may have the client initial, that the client
has received information listed in subsection (6) of this rule and document any
refusal to initial the client record.
(8) Information listed in subsection (5), (6)
and (7) of this rule may be combined with other documentation used by the
practitioner.
(9) A practitioner is
prohibited from providing services to a client who refuses to provide the
personal information required in subsection (1)(a) of this rule unless the
client signs a waiver form documenting the client's refusal to provide the
required information. The signed waiver form must be retained on file in the
manner required in subsection (2) of this rule.
(10) For the purpose of this rule,
practitioner means an individual certified in esthetics.
Notes
Statutory/Other Authority: ORS 690.165, ORS 676.615, ORS 676.568 & ORS 690.005
Statutes/Other Implemented: ORS 690.165, ORS 676.568 & ORS 690.005
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