1. (1) Acupuncturists are required to maintain written medical records for each date of service recording the course of treatment of each patient , which are legible, in English, and consistent with the standards of care in acupuncture. These records must include for each patient at least the following:

   1. (a) Patient’s Medical History including current medical diagnosis, medications, allergies, surgeries, implants, prostheses, other medical treatment, and maual therapies doing currently;
   2. (b) Acupuncture Diagnostic Impressions, and Treatment Goals and Strategies;
   3. (c) Points Used and Each/Any Treatment Procedures Administered at Each Visit, including topical applications;
   4. (d) Acupuncturists’ Recommendations;
   5. (e) Diet, Lifestyle, Herbal and Dietary Supplement Instructions, when these occur;
   6. (f) Dosing and timing of herbs and supplements;
   7. (g) Referrals to proper additional medical care;
   8. (h) Patient Progress Notes;
   9. (i) Laboratory test results when appropriate and medically necessary;
   10. (j) Imaging films, reports or test results when appropriate and medically necessary; and
   11. (k) Date of service.
2. (2) All medical records must be maintained by the acupuncturist for a period of five (5) years from the date of the last entry to the record.

Rulemaking Authority 457.104, 457.109(1)(m) FS. Law Implemented 457.109(1)(m) FS. History–New 5-24-87, Amended 12-21-87, Formerly 21AA-10.001, Amended 12-26-93, Formerly 61F1-10.001, 59M-10.001, Amended 2-26-01, 6-17-25.