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Medical Records and Med Spas: What Must Be Legally Retained?

Writer's picture: Mark A. WeitzMark A. Weitz

In Texas, med spas are required to maintain specific standards for the retention and handling of medical records, aligning with Texas state laws and healthcare regulations. Below is an overview of the medical records med spas must retain and for how long they must do so.

 

A picture of files with the words medical records and med spas: what must be legally retained in white over a blue background underneath the picture.

Definition of Medical Records in a Med Spa Context:

 

Medical records in med spas include documentation related to patient history, treatment plans, procedure details, signed consents, medications prescribed, and any post-treatment instructions. These records must also include documentation of patient interactions, including consultations, any adverse reactions, and follow-up recommendations. Any communication about the treatment, whether documented physically or electronically, is also part of the medical record.

 

Retention Period for Medical Records:

 

In Texas, medical records retention guidelines for med spas align with broader healthcare facility regulations. According to the Texas Medical Board (TMB) rules, a licensed healthcare provider, including physicians and other practitioners supervising med spa services, must retain adult medical records for at least seven years from the date of the last treatment. For minors, the retention period is extended to seven years from the date of the last treatment or until the patient reaches 21 years of age, whichever is longer. This ensures that records for minors are available into adulthood if needed for continued care or legal purposes.

 

Storage and Security of Medical Records:

 

Texas law requires that all medical records, whether paper or electronic, are securely stored to protect patient privacy and comply with HIPAA (Health Insurance Portability and Accountability Act) standards. Med spas must implement appropriate measures to safeguard these records from unauthorized access, alteration, or destruction. Electronic health records (EHRs) must be encrypted and stored on secure platforms, while physical records should be kept in locked, access-controlled areas.

 

Access and Disposal of Medical Records:

 

Patients have a right to access their medical records upon request. Med spas are required to respond to patient requests within a reasonable time frame, typically within 15 business days as stipulated by Texas law. When the retention period has passed, med spas are permitted to securely dispose of medical records. Disposal must be done in a way that protects patient confidentiality, such as by shredding paper records or securely deleting electronic files to prevent data recovery.

 

Consequences of Non-Compliance:

 

Failure to comply with medical record retention and security requirements can result in penalties, fines, or disciplinary action by the TMB. Additionally, breaches in patient privacy may lead to lawsuits or sanctions under HIPAA.

 

Special Considerations for Med Spa Treatments:

 

Med spa treatments that are overseen by licensed healthcare practitioners, such as physicians or nurse practitioners, may have additional documentation requirements specific to the type of treatment (e.g., laser therapy, injectables). These records may include detailed treatment notes and photographs taken for medical or cosmetic purposes, which also need to be retained under the same regulations.

 

Conclusion on Medical Records and Med Spas

 

A variety of regulations, guidelines, and protocols dictate that med spas take care in ensuring that medical records of their clients are safeguarded. It is a critical aspect of operations, and one that owners, operators, and medical directors should take seriously. Compliance with these retention and storage guidelines helps med spas operate legally and ethically. And following the rules and implementing best practices for records retention not only maintains client privacy but also proactively mitigates liability.

 

Feel free to reach out if you need more specific information or further clarification.

 

Weitz Morgan is a leading law firm in Texas in providing comprehensive advice and guidance to med spas. With a deep understanding of the unique challenges and complexities faced by this rapidly growing industry, our team of experienced attorneys is dedicated to helping med spas navigate the legal landscape successfully.

 

We recognize that med spas operate at the intersection of healthcare and beauty, which necessitates a multifaceted approach to representation. Our firm offers a range of services, including a flat-fee med spa formation package and an outside general counsel subscription, tailored to meet the specific needs of med spas, ensuring compliance, mitigating risks, protecting licenses, and fostering a legally sound business environment.

 

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