Veterinary and Para-Veterinary Professions Act, 1982 (Act No. 19 of 1982)

Rules

Rules relating to the Practising of Para-Veterinary Profession of Veterinary Physiotherapist

Conduct of persons practising Veterinary Physiotherapy

10. Records at veterinary physiotherapy facilities

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(1) The attending veterinary physiotherapist shall maintain records for each animal or group of animals which are legible, accurate and permit prompt retrieval of information.

 

(2) Records shall be kept for five (5) years.

 

(3) Records shall, where applicable, contain the following information—
(a) client’s identification;
(b) patient name, other forms of identification, as well as the specie, breed, gender, age and weight;
(c) Diagnosis by the attending veterinarian;
(d) clinical information;
(e) findings on evaluation;
(f) treatment;
(g) Reports/referrals from animal health team members; and
(h) Discharge instructions.

 

(4) Proper security arrangements shall be made to protect medical records from loss, fire, alterations or unauthorised use.

 

(5) A copy of any record kept by the veterinary physiotherapy facility must be submitted to Council within seventy-two (72) hours of being requested to do so by Council.