02.06.03.09

.09 Reproduction and Alteration of the Form.

A. A health care provider may freely copy, store electronically and subsequently print, or otherwise reproduce the form.

B. A health care provider may:

(1) Include on the form additional identifying information about a patient; or

(2) Alter the spacing or position of identifying information about a patient.

C. A health care provider may not alter the contents or format of the form other than as provided in §B of this regulation.