State Record Keeping Laws

State-specific Electronic Health Record (EHR) templates for each jurisdiction have been made available to psychologists at no cost. This project was funded by the CODAPAR grant and was completed due to the funding and hundreds of volunteer hours.

The EHR templates meet the letter of the law and ethical standards. Our EHR Task Force identified the key aspects of effective psychologist EHRs that MDs and other healthcare professionals would expect from their psychology partner in integrated healthcare records. Also, the EHR templates focus psychologists on meeting each State’s legal requirements and limit unnecessary detail that psychologists often include in their records.

The task force supported moving to the World Health Organization’s (WHO) International Classification of Functioning, Disability and Health (ICD) diagnostic codes. Our free EHR templates permit drop-down diagnoses using the ICD-10-CM functional diagnoses.

Before downloading the templates, please read the record-keeping document regarding your state’s laws.

These EHR templates should be used as a starting point. Because laws change, don’t hesitate to get in touch with your state psychological association to verify whether there have been changes in your jurisdiction’s record-keeping duties.