Kan. Admin. Regs. § 65-8-3

Current through Register Vol. 43, No. 32, August 8, 2024

Section 65-8-3 - Records

(a) The records of all patients shall contain at least the following information:

(1) the patients's full name, address, phone number and date of birth;

(2) a case history including all complaints;

(3) all objective and subjective findings taken;

(4) a diagnosis;

(5) the treatment plan given, including any ophthalmic or medical prescriptions;

(6) the final disposition, including any follow-up requirements or any patient referral;

(7) the date and location of the examination; and

(8) the name and signature of the licensee performing the examination.

(b) Any and all patient records required by these rules and regulations shall be maintained for at least five years.

(c) All findings and recordings entered into the patient records shall be made using normally accepted nomenclature and units of measure.

Kan. Admin. Regs. § 65-8-3

Authorized by K.S.A. 74-1504(a)(6); implementing K.S.A. 1991 Supp. 65-1502; effective May 18, 1992.