Authority: IC 25-38.1

Affected: IC 25-1-9

Sec. 2. (a) For purposes of section 1 of this rule, written animal health records shall include, but not be limited to, the following information:

1. (1) Name, address, and telephone number of the owner.
2. (2) Name, number, or other identification of the animal or group.
3. (3) Species, breed, age, sex, and color of the animal.
4. (4) Immunization record.
5. (5) Beginning and ending dates of custody of the animal.
6. (6) A short history of the animal's condition as it pertains to its medical status.
7. (7) Physical examination findings and laboratory data.
8. (8) Provisional or final diagnosis.
9. (9) Treatment and medication administered, prescribed, or dispensed.
10. (10) Surgery and anesthesia.
11. (11) Progress of the case.

(b) Animal health records for companion animals shall be maintained for each animal.

(c) Animal health records for economic animals may be maintained on a group or client basis.

(d) Animal health records shall be retained and shall be readily retrievable for a period of three (3) years following the last treatment or examination.

(Indiana Board of Veterinary Medicine; 888 IAC 1.1-5-2; filed Dec 27, 1993, 9:00 a.m.: 17 IR 1004; readopted filed Jul 18, 2001, 10:20 a.m.: 24 IR 4238; readopted filed Jul 19, 2007, 12:53 p.m.: 20070808-IR-888070070RFA; readopted filed Nov 25, 2013, 9:20 a.m.: 20131225-IR-888130280RFA; readopted filed Nov 22, 2016, 12:39 p.m.: 20161221-IR- 888160325RFA; readopted filed Nov 18, 2022, 9:12 a.m.: 20221214-IR-888220262RFA)