Code of Massachusetts Regulations
273 CMR - BOARD OF REGISTRATION IN NATUROPATHY
Title 273 CMR 4.00 - Scope of Practice
Section 4.03 - Practice Requirements
Universal Citation: 273 MA Code of Regs 273.4
Current through Register 1531, September 27, 2024
(1) Informed Consent. A naturopathic doctor shall obtain a signed informed consent from the patient upon establishing care and after advising the patient of the licensee's scope of practice and qualifications.
(2) Patient Records.
(a)
A naturopathic doctor shall maintain a patient's medical record for a minimum
of seven years from the date of the patient's last treatment. The medical
record of a minor shall be retained for a minimum of seven years from the date
of the patient's last treatment or three years from the date the patient
reaches eighteen years old, whichever is later.
(b) All patient records shall be
confidential, maintained securely according to accepted standards and contain,
but not be limited to, the following:
1. A
copy of the informed consent;
2.
Evidence of a patient interview regarding the patient's medical history and
current physical condition;
3.
Evidence of all material naturopathic treatment facts and options provided to
the patient or patient's legal representative and treatment recommendations
made according to standards of good naturopathic medical practice.
4. Evidence of an examination and
assessment;
5. Record of the
treatment provided; and
6. A copy
of all instructions and referrals for testing or further assessment of another
healthcare provider.
(c)
A naturopathic doctor shall provide upon written request by a patient or
patient's authorized person, a complete copy of the patient's medical record in
accordance with M.G.L. c. 112, §12CC. A copy of the patient record shall
be provided no later than 30 calendar days from the date of the request. A
licensee may charge a reasonable fee for providing a copy of the patient's
medical record consistent with M.G.L. c. 111, § 70.
(3) Practice Locations.
(a) A naturopathic
doctor may practice in all clinical care settings without limitation.
(b) A naturopathic doctor shall notify the
Board in writing immediately and in no case after five business days of any
change of practice location and address.
(c) A naturopathic doctor shall notify the
Board of the licensee's current residential address and any subsequent change
of that address within 30 days of such change.
(4) Mandatory Tracking.
(a) A naturopathic
doctor shall track and document in the medical record the immunization status
of a patient under 18 years old.
(b) A naturopathic doctor shall refer a
patient under 18 years old to a primary care or collaborative care physician
where evidence exists that the individual has not been immunized.
Disclaimer: These regulations may not be the most recent version. Massachusetts may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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