Section 25-D301. RECORDKEEPING REQUIREMENTS - GENERAL PROVISIONS  


Latest version.
  •  

    301.1The licensee shall maintain all records at the facility for at least three (3) years or longer if required by any other applicable District laws or regulations. The records shall be readily available for review by the Department.

     

    301.2The licensee shall maintain documentation of the following:

     

    (a)Each session of massage therapy, when practicable, including:

     

    (1) The date of service;

     

    (2) Service provided;

     

    (3) Needs assessment,

     

    (4) Plan of care,

     

    (5) Observations made, and

     

    (6) Actions taken by the massage therapist.

     

    (b)If the customer was referred by a medical professional, records relating to the concerns of the medical professional, in case they want to conduct any follow-up of the massage therapy provided.

     

    (c)Confidentiality of customer information, unless the information is required to be lawfully disclosed to the Department;

     

    (d)Consumer consent forms as specified in section 204.1(c); or

     

    (e)Documentation of parental consent for massage therapy, if the customer is a minor.

     

    301.3Records which are maintained by the licensee on computer systems shall be regularly copied, at least monthly, and updated on storage media other than the hard drive of the computer to ensure compliance with these regulations.

     

    301.4An electronic record shall be retrievable as a printed copy.

     

authority

Section 4902 of the Department of Health Functions Clarification Act of 2001 (“Act”) (effective October 3, 2001), D.C. Law 14-28, D.C. Official Code § 7-731(a)(12) (2008 Repl.), and the Mayor’s Order 2006-10 dated January 27, 2006

source

Final Rulemaking published at 56 DCR 7975 (October 9, 2009)