During the Leap presentations at the GVMA Fall Convention, I had several questions on what information needs to be included in a veterinary record. The Georgia Board of Veterinary Medicine has given us a list in their Rules – Section 700-8-01 (c), Unprofessional Conduct. Please note that this is the list of what should be included, but is not limited to this information, as the Board rule specifies that information sufficient to justify the diagnosis and warrant treatment must be included, even if that information is not one of the items on this list. However, you *shall* have all of these items, according to the state board rules, which are referenced and empowered by the Veterinary Practice Act. Take a look and see if it’s time to update or expand what’s in your medical records for clients…
(c) Failure to Maintain Patient Records:
| 1. | A veterinarian shall prepare and maintain a record reflecting the care and treatment of animals treated. |
Better Vet Practices 