AGENCY: Department of Health and Human Services. Office of Children with Special Healthcare Needs

SERIES: 7808
TITLE: Clinic scheduling sheets
DATES: 1984-
ARRANGEMENT: Alphanumerical

DESCRIPTION: This is a record of patients' appointments and other contacts with the bureau. Used to control daily activities and as a statistical tool. It includes the date; the name of the clinic; the area served by the clinic, the name of the patient; the patient's chart number; the physician code name; the appointment times; whether the appointment was for associated services such as speech and hearing or nutrition; the county code; whether the appointment was scheduled, added, kept, cancelled, or broken; and whether the patient is a new case.

RETENTION

Retain until separation

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 08/1986

FORMAT MANAGEMENT

Paper: Retain in Office until information input into the data system is verified and then destroy.

APPRAISAL

Administrative

This record is filled out by those members of the staff who have contact with the public, forwarded to the clerical staff to pull the patients records from the files before the patient's appointment. Afterwards, the sheets are sent to the billing action, from there to the Bureau of Health Statistics, and then returned to the billing section. Once they reach the billing section, a staff member verifies that the data was input into the data system correctly. Once this has been done, the paper document has no further value.

PRIMARY DESIGNATION

Private

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