Section 4.03 - Practice Requirements(1)Informed Consent. A naturopathic doctor shall obtain a signed informed consent from the patient upon establishing care and after advising the patient of the licensee's scope of practice and qualifications.(2)Patient Records.(a) A naturopathic doctor shall maintain a patient's medical record for a minimum of seven years from the date of the patient's last treatment. The medical record of a minor shall be retained for a minimum of seven years from the date of the patient's last treatment or three years from the date the patient reaches eighteen years old, whichever is later.(b) All patient records shall be confidential, maintained securely according to accepted standards and contain, but not be limited to, the following:1. A copy of the informed consent;2. Evidence of a patient interview regarding the patient's medical history and current physical condition;3. Evidence of all material naturopathic treatment facts and options provided to the patient or patient's legal representative and treatment recommendations made according to standards of good naturopathic medical practice.4. Evidence of an examination and assessment;5. Record of the treatment provided; and6. A copy of all instructions and referrals for testing or further assessment of another healthcare provider.(c) A naturopathic doctor shall provide upon written request by a patient or patient's authorized person, a complete copy of the patient's medical record in accordance with M.G.L. c. 112, §12CC. A copy of the patient record shall be provided no later than 30 calendar days from the date of the request. A licensee may charge a reasonable fee for providing a copy of the patient's medical record consistent with M.G.L. c. 111, § 70.(3)Practice Locations.(a) A naturopathic doctor may practice in all clinical care settings without limitation.(b) A naturopathic doctor shall notify the Board in writing immediately and in no case after five business days of any change of practice location and address.(c) A naturopathic doctor shall notify the Board of the licensee's current residential address and any subsequent change of that address within 30 days of such change.(4)Mandatory Tracking.(a) A naturopathic doctor shall track and document in the medical record the immunization status of a patient under 18 years old.(b) A naturopathic doctor shall refer a patient under 18 years old to a primary care or collaborative care physician where evidence exists that the individual has not been immunized.Adopted by Mass Register Issue 1468, eff. 4/29/2022.