N.J. Admin. Code § 10:58A-3.6

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

Section 10:58A-3.6 - Records: documentation, confidentiality, and informed consent for HealthStart maternity care providers

(a) HealthStart APN maternity care providers shall have policies which protect patient confidentiality, provide for informed consent, and document health support services in accordance with the New Jersey State Department of Health Guidelines for HealthStart Maternity Care Providers.

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

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

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

N.J. Admin. Code § 10:58A-3.6

Amended by R.2000 d.265, effective 7/3/2000.
See: 32 New Jersey Register 1127(a), 32 New Jersey Register 2483(a).
Amended by R.2004 d.334, effective 9/7/2004.
See: 36 New Jersey Register 312(a), 36 New Jersey Register 4136(a).

Amended by 56 N.J.R. 2191(a), effective 11/4/2024