The patient record shall include a description of the pain, a presumptive diagnosis for the origin of the pain, an examination appropriate to the complaint, a treatment plan, and the medication prescribed, including date, type, dosage, strength, and quantity prescribed.
18 Va. Admin. Code § 60-21-104
Statutory Authority: §§ 54.1-2400 and 54.1-2708.4 of the Code of Virginia.