Regulation .04 Relationship with Patient.
Regulation .04 Relationship with Patient.LinkCopy Citation
A.
A chiropractor shall:
(1)
Use professional judgment in the use of evaluation and treatment procedures;
(2)
Decline to administer treatment if the chiropractor believes that a treatment is contraindicated or unjustified;
(3)
Terminate a professional relationship with a patient in an appropriate manner, such as:
(a)
Providing the patient with sufficient notice to permit the patient to obtain the services of another professional;
(b)
Assisting the patient by providing referrals if appropriate; or
(c)
Continuing to provide emergency treatment to the patient if treatment is required before a reasonable time has passed to allow the patient to obtain the services of another health care provider;
(4)
Maintain a written record of treatment of the patient under the chiropractor's care for at least:
(a)
5 years after the termination of treatment; and
(b)
5 years after the patient becomes 18 years old, if applicable;
(5)
Make the written records of treatment available to the patient upon request, in compliance with applicable laws for disclosure of medical records;
(6)
Make arrangements for another professional to provide for the needs of the patient during anticipated absences when the chiropractor is unavailable to the patient;
(7)
Make referrals only to other qualified and duly licensed health care providers;
(8)
Accurately inform the patient, other health care professionals, and the public of the limitations of the practice of chiropractic;
(9)
Adequately assess the patient to determine if contraindications against chiropractic treatment exist and refer the patient to an appropriate health care practitioner;
(10)
Exercise independent professional judgment in the treatment or evaluation of the patient regardless of whether the patient was referred by another health care provider;
(11)
Ensure clear and concise professional communications with patients regarding:
(a)
Nature and duration of treatment;
(b)
Diagnoses;
(c)
Costs;
(d)
Billing; and
(e)
Insurance; and
(12)
Administer fair and equitable fees to patients regardless of status or insurance.
B.
A chiropractor may not:
(1)
Accept a client for treatment, or continue unnecessary treatment, when the patient cannot be reasonably expected to benefit from the treatment;
(2)
Receive remuneration from, or provide remuneration to, or split a fee, for either making or accepting a referral of the patient to or from another health care provider;
(3)
Make a guarantee or promise about the efficacy of a particular treatment, the chiropractor's practice, or the result of a treatment unless supported by scientific principles accepted by the profession; or
(4)
Exploit the professional relationship by:
(a)
Continuing treatment unnecessarily; or
(b)
Charging for a service:
(i)
Not provided; or
(ii)
Different from those actually provided.