059-16 Wyo. Code R. § 16-10

Current through April 27, 2019

Section 16-10 - Record-keeping

(a) An Immunization Questionnaire and Consent Form shall be completed for each individual receiving an immunization. Two (2) copies shall be provided to the patient. Patients shall be instructed to send one copy to their medical provider. The consent form shall include:

• (i) Documentation that the pharmacist has discussed the side effects with the patient; and

• (ii) A recommendation that the patient stays in the vicinity for fifteen (15) minutes; and if the patient chooses not to stay, the pharmacist has discussed how to seek treatment for side effects should they occur.

(b) The Immunization Questionnaire and Consent Form shall be filed in a manner that will allow timely retrieval and shall be on file for a time period not less than six (6) years. All records shall be maintained in the pharmacy where the pharmacist who administered the immunization is employed.

059-16 Wyo. Code R. § 16-10

Amended, Eff. 5/16/2017.