Skip to code content (skip section selection)
Compare to:
New York City Overview
The New York City Charter
The New York City Administrative Code
The Rules of the City of New York
THE RULES OF THE CITY OF NEW YORK
Title 1: Department of Buildings
Title 2: Board of Standards and Appeals
Title 3: Fire Department
Title 6: Department of Consumer and Worker Protection
Title 9: Procurement Policy Board Rules
Title 12: Franchise and Concession Review Committee
Title 15: Department of Environmental Protection
Title 16: Department of Sanitation
Title 17: Business Integrity Commission
Title 19: Department of Finance
Title 20: Tax Appeals Tribunal
Title 21: Tax Commission
Title 22: Banking Commission
Title 24: Department of Health and Mental Hygiene
Title 25: Department of Mental Health and Retardation [Repealed]
Title 28: Housing Preservation and Development
Title 29: Loft Board
Title 30: Rent Guidelines Board
Title 31: Mayor's Office of Homelessness and Single Room Occupancy
Title 34: Department of Transportation
Title 35: Taxi and Limousine Commission
Title 38: Police Department
Title 38-A: Civilian Complaint Review Board
Title 39: Department of Correction
Title 40: Board of Correction
Title 41: Department of Juvenile Justice
Title 42: Department of Probation
Title 43: Mayor
Title 44: Comptroller
Title 45: Borough Presidents
Title 46: Law Department
Title 47: Commission on Human Rights
Title 48: Office of Administrative Trials and Hearings (OATH)
Title 49: Department of Records and Information Services
Title 50: Community Assistance Unit
Title 51: City Clerk
Title 52: Campaign Finance Board*
Title 53: Conflicts of Interest Board
Title 55: Department of Citywide Administrative Services
Title 56: Department of Parks and Recreation
Title 57: Art Commission
Title 58: Department of Cultural Affairs
Title 60: Civil Service Commission
Title 61: Office of Collective Bargaining
Title 62: City Planning
Title 63: Landmarks Preservation Commission
Title 66: Department of Small Business Services
Title 67: Department of Information Technology and Telecommunications
Title 68: Human Resources Administration
Title 69: Department of Aging
Title 70: In Rem Foreclosure Release Board
Title 71: Voter Assistance Commission
Title 72: Office of Emergency Management
Title 73: Civic Engagement Commission
§ 3-07 Records.
   (a)   Policy.
      (1)   The Health Authority shall design and implement written policies and procedures for the maintenance of medical and dental records for use in correctional facilities which are:
         (i)   documented accurately, legibly, and in a timely manner; and
         (ii)   readily accessible to health care personnel.
      (2)   Records for inmates who are treated at the hospital shall comply with the legal requirements of the hospitals' accrediting agent(s).
   (b)   Format and Contents.
      (1)   The Health Authority shall approve uniform medical and dental forms for the recording of health information at all Department of Correction facilities.
      (2)   A health record shall be established and maintained for each inmate. At a minimum, the health record file shall contain, but not be limited to, the following:
         (i)   the completed intake screening form, as described in 40 RCNY § 3-04(b);
         (ii)   a problem list;
         (iii)   place, date, time, and the type of health service provided at each clinical encounter;
         (iv)   all findings, diagnoses, treatments, dispositions, recommendations, and summary of instructions to inmates;
         (v)   prescribed medications, their administration, and the duration;
         (vi)   original or copies of original laboratory, x-ray, and other diagnostic studies;
         (vii)   signature and title of each health care provider shall accompany each chart note; (viii) completed consent and refusal forms;
         (ix)   release of information forms signed by the inmate;
         (x)   special diets and other specialized treatment plans;
         (xi)   clinical and discharge summaries when an inmate is treated outside of Department of Correction facilities;
         (xii)   health service reports of medical and dental treatments, examinations, and all consultations pertaining to such services; and
         (xiii)   flow sheets for all infirmary or chronic patients.
      (3)   The health record shall accompany each inmate whenever he or she is transferred to another New York City Department of Correction institution. The health record, or a copy of the record, or pertinent sections of the record shall accompany each inmate whenever he or she is treated in a specialty clinic within a Department of Correction facility upon request of the specialty clinic physician.
      (4)   When an inmate is treated at a specialty clinic in a municipal hospital or other off-site health care facility, a detailed consultation request containing significant data, lab results and all relevant medical history shall accompany each inmate. When specialists at any off-site facility require the complete medical record, there shall be a written procedure in place to allow for the confidential transfer and return of this record or a copy of the record.
   (c)   Retention of Institutional Records.
      (1)   At a minimum the Health Authority shall be responsible for the following:
         (i)   safeguarding all health records from loss, tampering, alteration, or destruction;
         (ii)   maintaining the confidentiality and security of health records;
         (iii)   maintaining the unique identification of each inmate's health record;
         (iv)   supervising the collection, processing, maintenance, storage, timely retrieval, distribution, and release of health records;
         (v)   maintaining a predetermined, organized health record format; and
         (vi)   retention of active health records and retirement of inactive health records.
      (2)   Active and inactive health record files shall be retained according to all applicable laws.