Missouri Code of State Regulations
Title 20 - DEPARTMENT OF COMMERCE AND INSURANCE
Division 2150 - State Board of Registration for the Healing Arts
Chapter 5 - General Rules
Section 20 CSR 2150-5.030 - Physical Therapy, Rehabilitation Services, or Both
Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: This rule provides information concerning the disclosure of a physician's pecuniary interest in a physical therapy or rehab ilitation service as directed by section 334.100.2(21), RSMo.
(1) Pursuant to the authority granted in section 334.100.2(21), RSMo, physicians who have a pecuniary interest in physical therapy or rehabilitation service facilities must disclose that interest to patients who are prescribed either physical therapy or rehabilitation services using the following form: Missouri state law, 334.100.2(21), RSMo, requires a physician notify the patient or guardian that the physician has a pecuniary (financial) interest in the physical therapy facility in which prescribed treatment is provided, and that physical therapy or rehabilitation services are available to the patient on a competitive basis from other facilities.
Therefore, I understand that Dr. ___________
_____________ has a financial interest in
____________________ facility.
Further, I understand that I have the right to choose any other physical therapy or rehabilitation services which may be more convenient or competitive.
_______________________
Patient/Guardian Signature
_______________________
Date
This should be retained in the patient's per-
manent record.
*Original authority: 334.100.2(21), RSMo 1939, amended 1945, 1959, 1963, 1974, 1976, 1979, 1981, 1983, 1984, 1986, 1987, 1989, 1990 and 334.125, RSMo 1959.
