Section 5.10. Patient records.

 

(1)  An optometrist shall record and include in each patient's record all of the following information:

(a) Name and date of birth of the patient.

(b) Date of examination and examination findings, including a clear and legible record of the tests performed, the results obtained, the prescription ordered and the patient's far and near visual acuity obtained with the prescription ordered.

(c) Date of the prescription.

(d) Lens verification of lenses dispensed, including the date of verification and identification of the person verifying the lenses.

(e) Name, signature and license number of the examining optometrist.

(f) Documentation that alternate modes of treatment have been communicated to the patient and that informed consent has been obtained from the patient.

(2)  Patient records shall be maintained for at least 6 years.

History: Cr. Register, August, 1985, No. 356 , eff. 9-1-85; renum. Register, March, 1989, No. 399 , eff. 4-1-89; am. (3), cr. (4), Register, June, 1990, No. 414 , eff. 7-1-90; am. (1) (intro.) to (d), Register, September, 1997, No. 501 , eff. 10-1-97; CR 01-060 : am. (3), Register December 2001 No. 552 , eff. 1-1-02; CR 15-078 : am. (1) (intro.), cr. (1) (f), am. (2), r. (3), (4) Register December 2016 No. 732 , eff. 1-1-17 .