C-16, r. 14 - Regulation respecting the keeping of records and consulting-rooms of the Ordre des chiropraticiens du Québec

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2. A chiropractor must enter the following items and information in each record:
(1)  the date of opening the record;
(2)  the name of the patient at birth, his address, telephone number, date of birth and sex;
(3)  a summary description of the reasons for the consultation;
(4)  the x-rays where applicable and the results of all other examinations of the patient performed or requested by the chiropractor;
(5)  the diagnosis of the patient’s condition;
(6)  a description of the professional services rendered and their date;
(7)  the recommendations made to the patient;
(8)  the annotations, correspondence and other documents pertaining to the professional services rendered.
O.C. 2294-82, s. 2.