RECORD RETENTION AND DISPOSTION SCHEDULE

DEPARTMENT: State of New Jersey Four Year College

DIVISION: Student Life

BUREAU: Health Services Infirmary

Records
Series #

Record Title & Description

Retain In

Disposition

Agency

Records Center

0001-0000

Medical Records – Staff and Students

0001-0001

Weekly Health Services Report

1 year

0001-0002

Notification of Illness File
Contains: notification letter, infirmary services questionnaire, daily reports and supporting documentation.

2 years

0001-0003

Testing and Condition File – Department of Health Testing Requirement (copies)
Contains: first aid administration statement, permanent physical impairment statement, orientation checklist, New Jersey Department of Health forms, diagnostic immunology report and monthly age breakdown reports. Original kept by the New Jersey Department of Health.

3 years

0001-0004

Physician’s Prescription/Standing Order Statements

5 years

0001-0005

X-Ray Request

5 years

0001-0006

Accident and Insurance File

6 years

0001-0007

Borrowed Articles Form

7 years

0001-0008

Patient Medical Records File
Staff and student medical file. Contains: treatment statement, patient visitation to center statement, accident form (physician statement) infirmary admission record allergy injections statement athletic self-evaluation athletic treatment form physician referral rubella vaccine consent eye condition instruction form follow up injury form medical history nurse’s note follow up instruction from orthopedics patient audit worksheet physical examination form physician report release form continued treatment report release form continued treatment report routine treatment flow sheet self-evaluation tuberculosis incident report test records urinary infection information form and supporting documentation.

10 years or age 23 whichever is longer

0002-0000

Medical Information Reference File
File Contains guidelines, brochures, pamphlets, and supporting information pertaining to health safety and prevention.

3 years

0003-0000

State and Federal Regulations File (copies)
State and federal statute and code guidelines pertaining to health services.

As updated