My Account



Forgot Username?

Forgot Password?

Create a New Account

Documentation is primary defense in the event of a lawsuit. A good rule of thumb is If it's not documented - it wasn't done.

Some additional best practices for medical record documentation include:

  • Always document the record objectively.

  • Never point fingers at other Physicians or clinicians.

  • Use approved abbreviations and write legibly.

  • If you use an electronic medical record system, make sure that the system has a reliable backup and an appropriate disaster recovery plan.

  • NEVER, NEVER, NEVER alter the records!

While Professionals Advocate recommends that medical records be kept indefinitely, Maryland law provides that records be retained for five years after the record is made for an adult patient.

If you find yourself unable to retaim records indefinitely, ProAd asks that they be kept for a minimum of ten years. An appropriate means of destroying medical records is through burning or shredding.