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.