AGENCY: Department of Health and Human Services. Division of Family Health. Office of Maternal and Child Health

SERIES: 80771
TITLE: Patient visit log
DATES: 1983-
ARRANGEMENT: Chronological

DESCRIPTION: This is a record of the daily activity of the clinic. The information includes date, name of patient, if the appointment was kept or cancelled, whether the patient saw a physician, psychiatrist, dentist, nutritionist, neurologist, nurse, or other.

RETENTION

Retain for 3 year(s)

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 06/1987

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years and then destroy.

APPRAISAL

Administrative

This record has administrative value only.

PRIMARY DESIGNATION

Private

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