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Electronic Transmission of Medical Records

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Clinic policy on how and when to transmit patient medical records.

Follow up of abnormal diagnostic tests

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CSHS providers will provide to all patients who have undergone diagnostic studies their results in a timely manner.

Keeping Old Patient Records

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A reprint from Family Practice Management (January 2003) with a quick chart outlining a policy for how long to keep patient records.

Medical Records Policy

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An overall medical records policy that includes content, organization, and location (PDF format).

Normal Exam Standards

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Sample clinic policy to identify what constitutes or defines "normal" when a particular exam is identified as normal or within normal limits.

Patient Discharge From Practice

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The purpose of the Patient Discharge from Practice Policy is to direct a mechanism for review of cases where there is a serious breech in the responsibility of a patient to Cherry Street Health Services. The reviewers consist of the Medical Director and/or Dental Director and the Provider involved and any other staff involved in the case. The group may recommend a remedy, which may include the termination of the patient from the health center practice.

PPD Administration Record Policy

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Sample clinic policy to assure accurate and detailed record of all PPD testing in the clinic.

Procedure For Copying OB Records For CNMS

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Sample procedure for copying OB records for Certified Nurse Midwives. The procedure includes copying OB records and closing OB files.

Progress Notes

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Clinic policy describing SOAP notes.
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