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28 Pa. Code § 601.36 - Clinical records
PennsylvaniaregulationPennsylvania Department of Health
What this rule requires your agency to do
- 1Clinical records must be retained for 7 years after discharge of the patient, and policies must provide for retention even if the agency discontinues operations.(28 Pa. Code § 601.36 - Clinical records)
- 2Clinical record information must be safeguarded against loss or unauthorized use, with the patient's written consent required for release outside the agency except as otherwise provided by law or contract.(28 Pa. Code § 601.36 - Clinical records)
- 3A clinical record must be maintained for every patient, with clinical notes written the day service is rendered and incorporated into the record no less often than weekly.(28 Pa. Code § 601.36 - Clinical records)
Applies to: cross-cutting
Sets maintenance, content, retention, and confidentiality requirements for clinical records at home health care agencies.
Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.