<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.43.13.06" title_num="10" subtitle_num="43" chapter_num="13" heading="Records, Confidentiality, and Informed Consent.">
  <text>A chiropractor 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 records or information about the patient only:</text>
    <paragraph num="(1)">
      <text>In accordance with the consent to treatment form signed by the:</text>
      <paragraph num="(a)">
        <text>Patient; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Parent or guardian of a minor patient or incompetent patient; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>As required by law.</text>
    </paragraph>
  </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:</text>
      <paragraph num="(a)">
        <text>Withdraw from treatment at any time, including the risks associated with withdrawing from treatment;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Decline to participate in treatment if an aspect of the treatment will be recorded, documented, photographed, observed, or otherwise used in an educational program; or</text>
      </paragraph>
    </paragraph>
    <paragraph num="(6)">
      <text>Terminate any treatment contract at any time, for any or no reason, with no fee or penalty incurred;</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Obtain the full informed consent of a patient participating in a human research program, without communicating 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; and</text>
  </paragraph>
  <paragraph num="G.">
    <text>Promptly and efficiently respond to any patient or Board request for records.</text>
  </paragraph>
</regulation>