AGENCY: Department of Health. Bureau of Chronic Disease Control

SERIES: 83681
TITLE: Blood pressure/cholesterol screening information form
DATES: c. 1985-2009.
ARRANGEMENT: numerical by batch number

DESCRIPTION: This is a record of patient data and risk factors used as a screening tool to provide the patient with diagnostic information for further follow up and tracking. This record includes name, age, phone number, address, ethnic origin, education level, sex, height, weight, birth date of the person, medical questions, counseling provided, blood pressure reading, blood cholesterol reading, consent to have blood pressure taken, consent to have blood drawn for blood cholesterol reading and signature of the consenter.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 03/1989

FORMAT MANAGEMENT

Paper: Retain in Office for 2 years and then transfer to State Records Center. Retain in State Records Center for 2 years and then destroy.

APPRAISAL

Administrative Legal

Utah Code 78-14-4.1 states that no malpractice action against a health care provider may be brought unless it is commenced within two years after the plaintiff or patient discovers the injury, but not to exceed four years after the date of the alleged act.

PRIMARY DESIGNATION

Private

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