2. The licensee may charge a fee for the reproduction of records, which shall be no greater than $1.00 per page or $100.00 for the entire record, whichever is less; and 3. If the client or a subsequent treating health care professional is unable to read the client record, because it is illegible, the licensee, upon request, shall provide a typed transcription of the record. If the record is in a language other than English, the licensee shall also provide a translation. b) Licensees shall maintain the confidentiality of client records, except that: 1. The licensee shall release client records as directed by a subpoena issued by the Board or the Attorney General, or by a demand for a statement in writing under oath, pursuant to N.J.S.A. 45:1-18. Such records shall be originals, unless otherwise specified, and shall be unedited, with full client names; and 2. The licensee shall release information as required by statute or regulation. c) Where the client has requested the release of all or a portion of a client record to a specified individual or entity, in order to protect the confidentiality of the records the licensee shall: 1. Secure and maintain a current written authorization, bearing the signature of the client or an authorized representative; 2. Assure that the scope of the release is consistent with the request; 3. Forward the records to the attention of the specific individual identified in the request; and 4. Mark the material “Confidential.” 13:37A-5.4 USE OF COMPUTER TO PREPARE CLIENT RECORDS a) A licensee who prepares a patient record maintained solely on a computer shall use a write protected program which: 1. Contains an internal permanently activated date and time recordation for all entries; 2. Automatically prepares a back-up copy of the file; and 3. Is designed in such manner that, after the licensee “signs” by means of a confidential personal code (CPC), the entry cannot be changed in any manner. b) The licensee shall include in the client record at least two forms of identification; for example, name and record number of the patient or any other specific identifying information. c) The licensee shall finalize or “sign” the entry by means of a CPC. Where more than one individual is authorized to make entries into the computer file of any client record, each such person shall obtain a CPC and uses the program in the same manner. d) The licensee shall generate a hard copy of the complete client record, or a portion thereof, upon request. e) A licensee who generates a hard copy of a patient record pursuant to (d) above shall ensure that the hard copy is paginated with each page being a specified number of the total number of pages in the record. or holds itself out as providing, massage and bodywork therapies shall register with the Board. b) An individual or entity that employs another person to engage in, or an individual or entity that employs another person and advertises or holds itself out as
assertion when requested shall be deemed professional misconduct. e) All advertisements shall include: 1. The licensee’s first name, or first initial of the first name, and the licensee’s full last name; 2. The licensee’s address or telephone number; and 3. The terms AN.J. Lic. #@ followed by the licensee=s license number. f) If an entity advertises under a professional name the entity must identify at least one licensee’s first name, or first initial of the first name, and the licensee’s full last name, license number and telephone or address. g) A video or audio tape, or other permanent recording for an internet advertisement, which may include screen shots of a webpage, of every advertisement communicated by electronic media shall be retained by the licensee and shall be made available for review upon request by the Board or its designee. A copy of any advertisement appearing in the print media shall also be retained by the licensee and made available for review. The tapes and print media copies required to be retained under this subsection shall be kept for a minimum period of three years from the date of the last authorized publication or dissemination of the advertisement. h) Licensees who are on inactive status pursuant to N.J.A.C. 13:37A-2.3(h) shall not hold themselves out to the public as State licensed massage and bodywork therapists. 13:37A-5.2 RECORD KEEPING a) Licensees shall make contemporaneous, permanent entries into client records which shall accurately reflect the massage and bodywork services rendered. Client records shall be maintained in a safe and secure location for a period of seven years from the date of the most recent entry. The client record shall contain, at a minimum: 1. Intake record; 2. The dates of each service; 3. Reasons for visits, including a physician’s prescription, if there is one; 4. The name of the licensee who provided services if there is more than one licensee practicing at the office; 5. Modalities used and areas of focus on the body; and 6. Any referral to another healthcare professional. b) A licensee may make corrections and/or additions to a client record, provided that each change is clearly identified as such, dated and initialed by the licensee. 13:37A-5.3 CLIENT ACCESS TO RECORDS; CONFIDENTIALITY a) Licensees shall provide access to client records to a client or an authorized representative in accordance with the following: 1. No later than 30 days from receipt of a written request from a client or an authorized representative, the licensee shall provide a copy of the client record, and/or billing records as may be requested; Subchapter 6. Business Registration 13:37A-6.1 REGISTRATION OF EMPLOYERS a) Pursuant to N.J.S.A. 45:11-76, an individual or entity that employs another person to engage in, or an individual or entity that employs another and advertises
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Book Code: MNJ0626
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