New Jersey Administrative Code
Title 13 - LAW AND PUBLIC SAFETY
Chapter 37A - NEW JERSEY BOARD OF MASSAGE AND BODYWORK THERAPY RULES
Subchapter 5 - BUSINESS PRACTICES
Section 13:37A-5.2 - Recordkeeping
Universal Citation: NJ Admin Code 13:37A-5.2
Current through Register Vol. 56, No. 18, September 16, 2024
(a)Licensees shall make contemporaneous, permanent entries into client records that shall accurately reflect the massage and bodywork services rendered. Client records shall be maintained in a safe and secure location for a period of seven years from the date of the most recent entry. The client record shall contain, at a minimum:
1. Intake record;
2. The dates
of each service;
3. Reasons for visits, including a physician's
prescription, if there is one;
4. The name of the licensee who
provided services if there is more than one licensee practicing at the office;
5. Modalities used and areas of focus on the body; and
6. Any referral to another healthcare professional.
(b) A licensee may make corrections and/or additions to a client record, provided that each change is clearly identified as such, dated and initialed by the licensee.
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