<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.26.03.06" title_num="10" subtitle_num="26" chapter_num="03" heading="Records, Confidentiality, and Informed Consent.">
  <text>A licensee shall:</text>
  <paragraph num="A.">
    <text>Respect and maintain the privacy and confidentiality of the patient;</text>
  </paragraph>
  <paragraph num="B.">
    <text>Disclose the patient's record or information about the patient only with the patient's consent or as required by law;</text>
  </paragraph>
  <paragraph num="C.">
    <text>Adequately safeguard confidential patient information, including storage and disposal of records;</text>
  </paragraph>
  <paragraph num="D.">
    <text>Provide sufficient information to a patient to allow the patient to make an informed decision regarding treatment, including:</text>
    <paragraph num="(1)">
      <text>The purpose and nature of an evaluation or treatment regimen,</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Alternatives to treatment,</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Side effects and benefits of a treatment regimen proposed and alternatives to that treatment,</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The estimated cost of treatment and alternatives to treatment,</text>
    </paragraph>
    <paragraph num="(5)">
      <text>The right of the patient to withdraw from treatment at any time, including the risks associated with withdrawing from treatment, and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>The patient's right to decline to participate in treatment if an aspect of the treatment will be recorded, documented, photographed, observed, or otherwise used in an educational program;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Obtain the full informed consent of a patient participating in a human research program, without a direct or implied penalty for the patient's refusal to participate in the program, and with due regard for the patient's autonomy and dignity;</text>
  </paragraph>
  <paragraph num="F.">
    <text>Comply with applicable federal and State laws for human research programs;</text>
  </paragraph>
  <paragraph num="G.">
    <text>Maintain all patients' records in English; and</text>
  </paragraph>
  <paragraph num="H.">
    <text>If requested by the Board, provide an English language translation of the records by a Board approved translator, at the licensee's expense.</text>
  </paragraph>
</regulation>