Rule 4734-8-05 | Examination and prescription protocols.
(A) A chiropractic physician shall conduct an appropriate evaluation of a patient prior to initiating treatment. Such evaluation shall include at a minimum the following elements:
(1) History;
(2) Examination;
(3) Diagnosis(es);
(B) The history, examination, findings, and diagnosis(es) shall be documented in the patient's paper or electronic file or in another readily accessible medium. Further evaluation and management shall be conducted as needed, based on each patient's condition in accordance with prevailing standards of care.
(C) Once a chiropractic physician prescribes care for the management of any condition, the chiropractic physician shall record the treatment plan, which shall include documentation of the frequency, duration, and procedures recommended for management of the diagnosed condition(s).
Supplemental Information