<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.65.03.04" title_num="10" subtitle_num="65" chapter_num="03" heading="Relationship with Client.">
  <paragraph num="A.">
    <text>A licensee or registrant shall:</text>
    <paragraph num="(1)">
      <text>Use professional judgment in the use of evaluation and treatment procedure;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Decline to administer treatment when the treatment is contraindicated or unjustified;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Terminate a professional relationship with a client in an appropriate manner, such as:</text>
      <paragraph num="(a)">
        <text>Providing the client with sufficient notice to permit the client to obtain the services of another professional; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Assisting the client by providing referrals, if appropriate.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Maintain legible, organized written records of treatment of any client under the care of the licensee or registrant for at least 5 years after termination of treatment and as provided by applicable provisions of Health-General Article, Title 4, Subtitle 3, Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Make the written records available to the client upon request, in compliance with applicable laws for disclosure of medical records;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Make referrals only to other qualified and duly licensed or certified health care providers or practitioners, or both;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Accurately inform clients, other health care professionals, and the public of the limitations of massage therapy;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Adequately assess the client to determine if contraindications against massage therapy exist and refer the client to an appropriate health care practitioner; and</text>
    </paragraph>
    <paragraph num="(9)">
      <text>Exercise independent professional judgment in the treatment or evaluation, or both, of clients, regardless of whether the client was referred by another health care provider.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>A licensee or registrant may not:</text>
    <paragraph num="(1)">
      <text>Accept a client for treatment, or continue unnecessary treatment, when the client cannot be reasonably expected to benefit from the treatment;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Receive remuneration from, or provide remuneration to, or split a fee with another health care provider or individual, or both, for either making or accepting a referral of the client to the health care provider or individual, or both;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Make a guarantee or promise about the efficacy of a particular treatment, the licensee’s or registrant’s practice, or the results of a treatment unless supported by scientific principles accepted by the profession as determined by the governing board; or</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Exploit the professional relationship by:</text>
      <paragraph num="(a)">
        <text>Continuing treatment unnecessarily; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Charging for a service:</text>
        <paragraph num="(i)">
          <text>Not provided; or</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Different from those actually provided.</text>
        </paragraph>
      </paragraph>
    </paragraph>
  </paragraph>
</regulation>