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TMB HANDBOOK OF OPERATING PROCEDURESSection 9 Subject9.2Clinical Policies Patient RecordsPolicy 9.2.13UTMB Medical Record Policy12/01/90Originated 10/11/12 Reviewed w/ changes 07/24/12 Reviewed w/o
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How to fill out the UTMB medical record policy:

01
Read and understand the UTMB medical record policy guidelines, which can typically be found on their official website or provided by the relevant department.
02
Gather all necessary personal information, such as full name, date of birth, contact details, and any relevant identification numbers, as required by the policy.
03
Familiarize yourself with the different sections or fields in the medical record policy form. Take note of any specific instructions or requirements for each section.
04
Fill in the required information accurately. Make sure to provide all requested details, such as current medications, medical conditions, and any allergies or adverse reactions to medications.
05
If necessary, attach any supporting documents or medical records that may be required. These could include previous medical history, specialist reports, or laboratory results.
06
Review the completed form for any errors or missing information. Ensure that all entries are clear and legible.
07
Sign and date the form as required. Understand any consent or authorization statements that may be included and provide your signature accordingly.
08
Make copies of the filled-out form for your records, if desired.
09
Submit the completed form to the designated department or personnel as instructed by the UTMB medical record policy.

Who needs UTMB medical record policy:

01
Patients: Individuals who receive medical services from UTMB or any of its affiliated healthcare providers are required to adhere to the UTMB medical record policy.
02
Healthcare professionals: Physicians, nurses, technicians, and other healthcare professionals who provide care at UTMB or interact with patient medical records need to follow the UTMB medical record policy to ensure accurate and comprehensive documentation.
03
Administrative staff: Personnel responsible for managing and maintaining medical records at UTMB facilities should be aware of and comply with the UTMB medical record policy to ensure the proper organization and storage of patient information.
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The UTMB medical record policy outlines the guidelines and procedures for maintaining patient medical records.
All healthcare providers and facilities under UTMB are required to adhere to the medical record policy.
To fill out the UTMB medical record policy, healthcare providers must ensure they document all patient information accurately and in compliance with the policy guidelines.
The purpose of the UTMB medical record policy is to ensure the accurate and secure documentation of patient information for quality patient care and legal compliance.
The UTMB medical record policy requires the reporting of patient demographics, medical history, treatment plans, and other relevant medical information.
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