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105. Mass. Code Regs. 143.012. - Patient Records

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“Patient Records”
Each program shall keep in one centralized location on its premises records indicating all the services rendered to patients. Records shall contain sufficient information to justify the services and to document the results accurately.Each patient shall have a single integrated record. Each entry into each patient record shall be dated and authenticated by the staff member making the entry, indicating name and title. Each page of each patient's record shall have two unique forms of identification.  This section establishes the required information for the medical records with respect to each patient.

Current as of June 2015