D.C. Code § 7-661.06: Medical record documentation requirements.

(a)

The attending physician shall document and file in the medical record of the patient requesting a covered medication:

(1)

All oral requests by a patient for a covered medication;

(2)

All written requests by a patient for a covered medication;

(3)

The attending physician's:

(A)

Diagnosis and prognosis of the patient;

(B)

Determination that the patient is a District resident and is capable, acting voluntarily, and has made an informed decision when requesting a covered medication;

(C)

Offer to the patient to rescind his or her request for a covered medication before the patient makes his or her second oral request;

(D)

Notation that all requirements under this chapter have been met; and

(E)

Notation regarding all steps taken to carry out the patient's request for a covered medication, including a notation of the covered medication prescribed;

(4)

The consulting physician's:

(A)

Diagnosis and prognosis of the patient;

(B)

Verification that the patient is capable, acting voluntarily, and has made an informed decision when requesting a covered medication; and

(5)

If a patient is referred to counseling pursuant to § 7-661.04, a report by the psychiatrist or psychologist of the outcome and determinations made during counseling.