Sec.20-128-6. Patient records

In the practice of his profession each licensed optometrist shall keep an adequate chart or record on file for each patient examined by him. He shall make a complete minimum examination and shall keep a record from actual tests made on each patient, which record shall show the following minimum conditions:

(1) Complete history and symptoms;

(2) habitual visual acuities;

(3) external examination, including motility tests;

(4) ophthalmoscopic examination recording description of all media and grounds, nervehead and vascular tree;

(5) phoria tests vertical and horizontal for near and far;

(6) tests for fusion near and far;

(7) keratometer (ophthalmometer) readings;

(8) refraction obtained retinoscopically;

(9) refraction obtained subjectively including tests for astigmatism and axis;

(10) amplitudes of accommodation, convergence and divergence;

(11) disposition of case and prescription with corrected visual acuities right eye, left eye, both eyes, including facial measurements.