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Library: Policy

317:30-5-223. Documentation

Revised 7-1-13

    All services must be documented in the member's medical record. All genetic counseling sessions must, at a minimum, include the following:

  • (1) date of service;

  • (2) start and stop time for each treatment session;

  • (3) practitioner's signature;

  • (4) pedigree, and/or review and interpretation of family history; and

  • (5) recommendation and plan of care.

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