New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 66 - INDEPENDENT CLINIC SERVICES
Subchapter 3 - HEALTHSTART
Section 10:66-3.16 - Records: documentation, confidentiality and informed consent for HealthStart pediatric care providers
Current through Register Vol. 56, No. 18, September 16, 2024
(a) HealthStart pediatric care providers shall have policies that protect patient confidentiality, provide for informed consent, and document comprehensive care services in accordance with the New Jersey State Department of Health Guidelines for HealthStart Pediatric Care Providers.
(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, care plan, 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.