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11/17/2010 EDITED-JMM 2/17/11 Uniform Clinical Records Instruction Manual South Carolina Department of Alcohol and Other Drug Abuse Services 101 Executive Center Drive, Suite 215 Columbia, SC 29210
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What is uniform clinical records instruction?
Uniform clinical records instruction refers to a standardized form that is used to provide instructions on how to complete clinical records in a consistent manner.
Who is required to file uniform clinical records instruction?
All healthcare providers and organizations who maintain clinical records are required to file uniform clinical records instruction.
How to fill out uniform clinical records instruction?
To fill out uniform clinical records instruction, you need to follow the guidelines provided in the form and accurately report the required information.
What is the purpose of uniform clinical records instruction?
The purpose of uniform clinical records instruction is to ensure standardized and consistent documentation of clinical records, improving patient care and facilitating better understanding of medical history.
What information must be reported on uniform clinical records instruction?
The information that must be reported on uniform clinical records instruction includes patient demographics, medical history, diagnosis, treatment plan, medications, test results, and any other pertinent clinical information.
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