New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 52 - HOSPITAL SERVICES MANUAL
Subchapter 3 - HEALTHSTART-MATERNITY AND PEDIATRIC CARE SERVICES
Section 10:52-3.15 - Records; documentation, confidentiality and informed consent for HealthStart pediatric care providers
Universal Citation: NJ Admin Code 10:52-3.15
Current through Register Vol. 56, No. 18, September 16, 2024
(a) HealthStart pediatric care providers shall have policies which protect patient confidentiality, provide for informed consent and document comprehensive care services.
(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, plan of care, 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.
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