Medical Records

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Medical Records

POLICY:

The Fond du Lac County Department of Community Programs Medical Record Department maintains a health care record on all persons receiving treatment on the Acute Psychiatric Hospital Unit and Mental Health/AODA Outpatient divisions of the Department of Community Programs. The primary purposes of the health care record are:

1) To document the course of the patient's treatment and health care.

2) To provide a medium of communication among health care professionals for current and future patient care,

3) To substantiate treatment provided for third party payers in order to justify reimbursement.

The Fond du Lac County Department of Community Programs respects the client's right to privacy by treating the health care record as confidential and, therefore, has developed policies and procedures to protect the client from any unauthorized release of confidential information. These policies and procedures are set within the current State and Federal Guidelines for inpatient/outpatient mental health/AODA information along with facility specific guidelines.