{"data":{"id":"us-va/18vac90-70-230","jurisdiction":"us-va","citation":"18VAC90-70-230","heading":"Medical records","body":"The prescriber shall keep current, accurate, and complete records in an accessible manner and readily available for review to include:\n\n1. The medical history and physical examination;\n\n2. Past medical history;\n\n3. Applicable records from prior treatment providers or any documentation of attempts to obtain those records;\n\n4. Diagnostic, therapeutic, and laboratory results;\n\n5. Evaluations and consultations;\n\n6. Treatment goals;\n\n7. Discussion of risks and benefits;\n\n8. Informed consent and agreement for treatment;\n\n9. Treatments;\n\n10. Medications, including date, type, dosage and quantity prescribed, and refills;\n\n11. Patient instructions; and\n\n12. Periodic reviews.","path":["Title 18. Professional And Occupational Licensing","Agency 90. Board of Nursing","Chapter 70. Regulations Governing the Practice of Licensed Certified Midwives","Part VI. Management of Chronic Pain"],"source_url":"https://law.lis.virginia.gov/admincode/title18/agency90/chapter70/section230/","current_through":"2026 Regular Session (effective July 1, 2026)","vintage":"","retrieved_at":"2026-09-14T04:52:55Z","sha256":"d14b5ee1f41e1e86713f112e75e4df39fc2b6d71dc885e0c61ede73a8f75e4ca","source_id":"us-va-vac","stale":false,"prev":"us-va/18vac90-70-220","next":"us-va/18vac90-70-240"},"notice":"GroundRules: Original legal text. Not legal advice."}