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Have you kept contemporaneous patient records for the services you have provided?

23rd August 2012

It is your responsibility as an allied health provider to maintain adequate records.

Records should clearly identify the name of the patient; contain a separate entry for each attendance by the patient for a service; indicate the date on which the service was rendered or initiated; contain information adequate to explain the type of service rendered or initiated; and be sufficiently comprehensible that another practitioner, relying on the record, could effectively undertake the patient’s ongoing care.

Excerpt from Department of Human Services health professional guidelines

 


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