N.Y. Public Health Law Section 2899-J
Medical record documentation requirements

An attending physician shall document or file the following in the patient’s medical record:

1.

the dates of all oral requests by the patient for medication under this article;

2.

the written request by the patient for medication under this article, including the declaration of witnesses and interpreter’s declaration, if applicable;

3.

the attending physician’s diagnosis and prognosis, determination of decision-making capacity, and determination that the patient is acting voluntarily, of the patient’s own volition and without coercion, and has made an informed decision;

4.

written determination of decision-making capacity under § 2899-I (Mental health professional responsibilities)section twenty-eight hundred ninety-nine-i of this article; and

5.

a note by the attending physician indicating that all requirements under this article have been met and indicating the steps taken to carry out the request, including a notation of the medication prescribed or ordered.

Source: Section 2899-J — Medical record documentation requirements, https://www.­nysenate.­gov/legislation/laws/PBH/2899-J (updated Aug. 7, 2026; accessed Aug. 8, 2026).

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Verified:
Aug. 8, 2026

Last modified:
Aug. 7, 2026

§ 2899-J. Med. record documentation requirements's source at nysenate​.gov

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