General WritingResearch and CitationTeaching and TutoringSubject-Specific WritingJob Search WritingESL
OWL at Purdue Logo

This page is brought to you by the OWL at Purdue (https://owl.english.purdue.edu/). When printing this page, you must include the entire legal notice at bottom.

Legal Issues of Documentation

Summary:

The intention of this section is to provide veterinary technicians with guidelines for writing the patient care plan portion of the veterinary medical record. As there is no standardized format for writing a veterinary care plan, the following principles are only one example of how a care plan may be formulated.

Contributors:Natalie van Hoose, April Phillips, Jamelyn Schoenbeck Walsh, Margaret Lump, Elizabeth Angeli
Last Edited: 2012-03-16 14:03:50

Because the veterinary medical record is a legal document, the following principles should be strictly adhered to when writing in the record:

Records are the legal property of the veterinary hospital and/or veterinarian(s) who own the practice. Information about a patient may only be released to the client at the discretion of the attending veterinarian. The client has a right to access all the information in the records. 

*Some materials adapted from Rockett, J. et al. (2009). Patient Assessment, Intervention, and Documentation for the Veterinary Technician. Clifton Park, NY: Delmar.

Copyright ©1995-2014 by The Writing Lab & The OWL at Purdue and Purdue University. All rights reserved. This material may not be published, reproduced, broadcast, rewritten, or redistributed without permission. Use of this site constitutes acceptance of our terms and conditions of fair use.