1. (1) An optometrist shall record and include in each patient’s record all of the following information:

   1. (a) Name and date of birth of the patient.
   2. (b) Date of examination and examination findings, including a clear and legible record of the tests performed, the results obtained, the prescription ordered and the patient’s far and near visual acuity obtained with the prescription ordered.
   3. (c) Date of the prescription.
   4. (e) Name, signature and license number of the examining optometrist.
   5. (f) Documentation that alternate modes of treatment have been communicated to the patient and prior informed consent has been obtained from the patient. If the patient is a minor or incompetent, documentation that prior consent for treatment was received from the patient’s parent or legal guardian.
2. (2) Patient records shall be maintained for at least 6 years.

History

History: Cr. Register, August, 1985, No. 356, eff. 9-1-85; renum. Register, March, 1989, No. 399, eff. 4-1-89; am. (3), cr. (4), Register, June, 1990, No. 414, eff. 7-1-90; am. (1) (intro.) to (d), Register, September, 1997, No. 501, eff. 10-1-97; CR 01-060: am. (3), Register December 2001 No. 552, eff. 1-1-02; CR 15-078: am. (1) (intro.), cr. (1) (f), am. (2), r. (3), (4) Register December 2016 No. 732, eff. 1-1-17; CR 21-005: r. (1) (d), am. (1) (f) Register June 2022 No. 798, eff. 7-1-22.