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Contents of the Record
Contents of the Patient Record
An occupational therapist, or an occupational therapy assistant, acting under the supervision of an occupational therapist, shall include at least the following information in the patient record:
A licensed occupational therapist shall periodically review and update the patient's plan of care.
The permanent patient record of occupational therapy services shall be retained for at least seven (7) years from the date of the last entry, unless otherwise provided by law, or in the case of a patient who is a minor at the time of the last date of treatment, the licensee shall retain the record for seven years from the last treatment or for at least two years after the minor patient reaches the age of 18, whichever is later.
N.J.A.C. § 13:44K-10.1