Chiropractors and dating patients

The Joint Commission on Accreditation of Hospital (JCAH) Stipulates the following minimum standards in assessing hospital accreditation compliance with medical record-taking and confidentiality of the information contained therein.

The ICA endorses the JCAH standards in principle: The doctor of chiropractic shall comply with a patient's written authorization to provide records or copies of records to individuals the patient designates to inspect or receive all or part of said records.

Release of information from the health record shall be carried out in accordance with all applicable legal, accrediting, and regulatory agency requirements, and in accordance with written institutional policy.

All information contained in the health records is confidential and the release of information will be closely controlled.

In either event, the health care provider shall make a written record, to be included with the health records requested, noting the date of the request and explaining the health care provider's reason for refusing to permit inspection or provide copies thereof, including a description of the specific adverse or detrimental consequences to the patient which the provider anticipates would occur if inspection or copying were permitted.

In the event that the patient wishes to correct data, it shall be done as an amendment, without change to the original entry, and shall be clearly identified as an additional document appended to the original health record at the direction of the patient.

Further, doctors of chiropractic shall abide by general standards for patient records confidentiality and release promulgated by the American Medical Records Association (AMRA).

The AMRA standards, listed below, are endorsed by the International Chiropractors Association and henceforth are an integral part of the ICA Code of Professional Ethics: Provide a summary of the health record, according to the requirements of this section.

No person other than a licensed chiropractic physician may render chiropractic services, chiropractic adjustments, or chiropractic manipulations.

Any chiropractic physician who has complied with the provisions of this chapter may examine, analyze, and diagnose the human living body and its diseases by the use of any physical, chemical, electrical, or thermal method; use the X ray for diagnosing; phlebotomize; and use any other general method of examination for diagnosis and analysis taught in any school of chiropractic.

The following basic principles should be guiding factors in the practice of chiropractic and upheld at all times: The ICA Code of Ethics comprises a doctor of chiropractic's duties and obligations to his or her patients, the public and each other.

The ethical foundations upon which these principles are based are established moral obligations that ensure the dignity and integrity of the profession.

This document shall then be regarded as an integral part of the health record.

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