Cal. Code Regs. tit. 22 § 75341

Current through Register 2024 Notice Reg. No. 39, September 27, 2024
Section 75341 - Patient Treatment Record Service
(a) Each psychology clinic shall establish and maintain a patient treatment record service which is systematically organized to provide a complete, accurate, correlated, and current treatment record for each patient which is filed in a centrally located area.
(b) The treatment record service shall be located to facilitate immediate retrieval of required information.
(c) A person working in the clinic shall be responsible for the direction and supervision of the treatment record service to ensure that all patient records are accurately documented, completed, indexed, and filed in the unit system. When the Department finds the treatment record service does not meet the standards set forth in these regulations, the clinic may be required to obtain the services of either a registered health information technician or registered health information administrator to assist in establishing and maintaining the treatment record service.

Cal. Code Regs. Tit. 22, § 75341

1. New section filed 3-13-87; effective thirtieth day thereafter (Register 87, No. 12).
2. Change without regulatory effect amending subsections (a) and (c) and amending NOTE filed 3-12-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 11).

Note: Authority cited: Sections 1225, 1275 and 131200, Health and Safety Code. Reference: Sections 1204.1, 1226, 1276, 131050, 131051 and 131052, Health and Safety Code.

1. New section filed 3-13-87; effective thirtieth day thereafter (Register 87, No. 12).
2. Change without regulatory effect amending subsections (a) and (c) and amending Note filed 3-12-2013 pursuant to section 100, title 1, California Code of Regulations (Register 2013, No. 11).