What type of information should be included in patient records according to the Board's standards?

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Including diagnosis and procedures in patient records is essential for meeting the Board's standards because it ensures that there is comprehensive documentation of the patient's condition and the care provided. This information aids in continuity of care, as it allows for future healthcare providers to understand what previous evaluations and treatments have been administered. It also serves legal and regulatory purposes, as thorough records can protect both the patient and the practitioner in the event of disputes or audits.

In addition to facilitating effective patient management, detailed records that include diagnosis and procedures support the evidence-based practice of chiropractic care, providing a foundation for treatment decisions. Proper documentation is a critical aspect of ensuring that patient care aligns with best practices and legal requirements.

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