C-26, r. 105 - Regulation respecting the keeping of records by dietitians

Section 2.02 Disposition versions

2012-09-01

2.02. The dietitian must enter the following items and information in each record:

(a)  the date of opening the record;

(b)  where the client is an individual, the name and given names of the client at birth, the sex, address, telephone number, date of birth, and the health insurance number where such information is relevant;

(c)  where the client is a partnership, body or establishment, its name, style, the name of the representative, the business address and telephone number;

(d)  a summary description of the reasons for the consultation;

(e)  a description of the professional services rendered and their date;

(f)  the evaluation and evolution reports;

(g)  the recommendations made to the client;

(h)  the reports provided;

(i)  the notes, correspondence and other documents pertaining to the professional services rendered, in particular the prescriptions requiring his services.

R.R.Q., 1981, c. C-26, r. 75, s. 2.02.