You do not tell us what state you are in. I can only refer to the Laws of the State of Florida, where I reside.
You have a right to examine your medical chart at any time. However, presuming you are a lay person (unable to understand what should have been written), the Facility has the Obligation, as you have the Right, to have a MEDICAL PROFESSION sit with you and your Medical Chart and explain fully the contents. If any treatment is prescribed, you have the right to fully understand the risk versus the benefit of this treatment. If this Doctor examined you, a Medical Note MUST be the Chart.
It is just plain lazy of the physician not to have made notations in your chart, rather he was approved by the facility or not. I can assure you he billed your Insurance Carriers.
That is the way it is in the State of Florida. Do not be intimadated in filing a complaint. This is the only way the system works. You have to weed the garden and get rid of the BAD weeds!
I hope this has helped you in some way.
Season Greetings.
meetze94 aka distantwimgs
