N.J. Admin. Code § 10:58A-3.12

Current through Register Vol. 57, No. 1, January 6, 2025

Section 10:58A-3.12 - Records: documentation, confidentiality and informed consent for HealthStart pediatric care providers

(a) HealthStart pediatric care providers shall have policies that protect patient confidentiality, as defined at N.J.A.C. 10:49-9.7, and provide for informed consent and document comprehensive care services in accordance with this Chapter.

(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, care plan, 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 § 10:58A-3.12

Amended by R.2011 d.119, effective 4/18/2011.
See: 42 N.J.R. 2890(a), 43 N.J.R. 1015(a).
In (a), substituted "that" for "which" and updated the N.J.A.C. reference.