N.J. Admin. Code § 10:52-3.15

Current through Register Vol. 56, No. 23, December 2, 2024

Section 10:52-3.15 - Records; documentation, confidentiality and informed consent for HealthStart pediatric care providers

(a) HealthStart pediatric care providers shall have policies which protect patient confidentiality, provide for informed consent and document comprehensive care services.

(b) An individual record shall be maintained for each patient.

(c) Each record shall be confidential and shall include at least the following: history and physical examination, results of required assessments, plan of care, treatment services, laboratory reports, counseling and health instruction provided and documentation of referral and follow-up services.

(d) There shall be policies and procedures for appropriate informed consent for all HealthStart pediatric services.

N.J. Admin. Code § 10:52-3.15

Amended by R.2000 d.29, effective 1/18/2000.
See: 31 New Jersey Register 3151(a), 32 New Jersey Register 276(a).
Amended by R.2005 d.214, effective 7/5/2005.
See: 37 New Jersey Register 436(a), 37 New Jersey Register 2506(a).
Rewrote (a); in (c), substituted "plan of care" for "Care Plan".