Legislation

* § 2899-j. Medical record documentation requirements. An attending
physician shall document or file the following in the patient's medical
record:

1. the dates of all oral requests by the patient for medication under
this article;

2. the written request by the patient for medication under this
article, including the declaration of witnesses and interpreter's
declaration, if applicable;

3. the attending physician's diagnosis and prognosis, determination of
decision-making capacity, and determination that the patient is acting
voluntarily, of the patient's own volition and without coercion, and has
made an informed decision;

4. written determination of decision-making capacity under section
twenty-eight hundred ninety-nine-i of this article; and

5. a note by the attending physician indicating that all requirements
under this article have been met and indicating the steps taken to carry
out the request, including a notation of the medication prescribed or
ordered.

* NB Effective August 5, 2026