| (a) Individual records shall be complete, contemporaneous
and legible and shall include, but are not limited to:
(1) name, address, and phone number of the client;
(2) identification of patient, including name, breed,
age, sex, and description;
(3) patient history;
(4) dates of visits;
(5) other details necessary to substantiate or document
the procedure performed; and
(6) any amendment, supplementation, change, or correction
in a patient record not made contemporaneously with the act or observation
noted by indicating the time and date of the amendment, supplementation,
change or correction, and clearly indicating that there has been an
amendment, supplementation, change, or correction.
(b) Maintenance of Patient Records.
(1) Patient records shall be current and readily available
for a minimum of five years from the date of last treatment by the
equine dental provider.
(2) Patient records are the responsibility and property
of the equine dental provider, provided however, that equine dental
providers shall give copies of records to the owner or caretaker authorizing
treatment of the patient at the time of treatment, and shall provide
copies of records to the supervising veterinarian on request, within
15 business days of the request.
(3) An equine dental provider may destroy medical records
that relate to any civil, criminal or administrative proceeding only
if the equine dental provider knows the proceeding has been finally
resolved.
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