| 6500.121(b) | Individual #1's physical examination, completed 10/20/2025, was not dated by the physician. The agency's physical examination form did not include a space for the physician to record the date with their signature. | The physical examination shall be completed, signed and dated by a licensed physician, certified nurse practitioner or licensed physician's assistant. | A physical examination must be completed, signed, and dated by an authorized medical professional (a licensed physician, certified nurse practitioner, or licensed physician's assistant). This regulation is essential for administrative accountability, authenticating the exam's accuracy, establishing a legal health record baseline, ensuring continuity of care, confirming the documented health status is current and validated.
The physical examination form was date on the front page, not immediately accompanying the healthcare provider's signature. To address this, the form was revised on January 9, 2026, to include a dedicated date line adjacent to the signature of the licensed physician, certified nurse practitioner, or licensed physician's assistant. This ensures the date is clearly linked to the professional's attestation. |
01/15/2026
| Implemented |