La. Admin. Code tit. 46 § XLVII-3609

Current through Register Vol. 50, No. 6, June 20, 2024

Section XLVII-3609 - Form of Disclosure

A. Required Contents. The disclosure required by §3605 of this Chapter shall be made in writing, shall be furnished to the patient, or the patient's authorized representative, prior to or at the time of making the referral, and shall include:

1. the registered nurse's name, address and telephone number;

2. the name and address of the health care provider to whom the patient is being referred by the registered nurse;

3. the nature of the items or services which the patient is to receive from the health care provider to which the patient is being referred; and

4. the existence and nature of the registered nurse's financial interest in the health care provider to which the patient is being referred.

B. Permissible Contents. The form of disclosure required by §3609 may include a signed acknowledgment by the patient or the patient's authorized representative that the required disclosure has been given.

C. Approved Form. Notice to a patient given substantially in the form of Disclosure of Financial Interest prescribed in the Appendix of these rules (§3619) shall be presumptively deemed to satisfy the disclosure requirements of this Subchapter.

La. Admin. Code tit. 46, § XLVII-3609

Promulgated by the Department of Health and Hospitals, Board of Nursing, LR 21:269 (March 1995), amended LR 24:1293 (July 1998).

AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1744 and R.S. 37:918.