Cal. Code Regs. Tit. 22, § 75056 - Admission Records
(a) The clinic shall complete an admission record for each patient which shall include the following:
(1) Name.
(2) Current address.
(3) Age and date of birth.
(4) Sex.
(5) Date services began.
(6) Last date of services.
(7) Consent for treatment authorizations.
Notes
Note: Authority cited: Sections 208(a) and 1225, Health and Safety Code. Reference: Section 1226, Health and Safety Code.
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