Sec. 02.06.03.09. Reproduction and Alteration of the Form  


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  • A. A health care provider may freely copy, store electronically and subsequently print, or otherwise reproduce the form.

    B. A health care provider may:

    (1) Include on the form additional identifying information about a patient; or

    (2) Alter the spacing or position of identifying information about a patient.

    C. A health care provider may not alter the contents or format of the form other than as provided in §B of this regulation.