N.H. Admin. Code § Ch 406.02

Current through Register No. 50, December 12, 2024

Section Ch 406.02 - Obligation to Maintain Patient Records

(a) A licensee shall maintain patient records including at least the following:

(1) A description of the patient's chief complaint or reason for initiating care;

(2) A history, which includes any significant events:

a. Related to the patient's chief complaint or reason for initiating care; and

b. Occurring in the patient's general health history;

(3) A record of diagnostic, analytic and chiropractic procedures including:

a. Any findings from examination and x-ray;

b. A diagnosis or analysis;

c. A description of the care rendered at each visit including therapeutic modalities and other ancillary procedures;

d. Any changes in the plan of care together with the reason for such changes; and

e. A record of the patient's response to chiropractic care; and

(4) The images taken for diagnostic purposes.

(b) The patient records described in (a) above shall be retained for 5 years following the end of treatment or the age of majority of the patient, whichever comes later.

(c) A licensee shall develop a plan:

(1) For the disposition of patient records after the expiration of the retention period mandated by (b) above; and

(2) For the management of patient records if, during the mandated retention period, the licensee has:

a. Died;

b. Retired;

c. Become unable to practice because of physical or mental incapacity; or

d. Lost his or her license to practice.

(d) The licensee shall provide the board with the name, address and telephone number of any person or entity identified by the plan required by (c)(2) above as future custodian of the patient records.

N.H. Admin. Code § Ch 406.02

#8739, eff 10-11-06; ss by #9358, eff 1-10-09

Amended by Volume XXXVII Number 10, Filed March 9, 2017, Proposed by #12107, Effective 2/21/2017, Expires8/20/2017.

Amended by Volume XXXVII Number 50, Filed December 14, 2017, Proposed by #12431, Effective 12/8/2017, Expires 12/8/2027.