331-900-0099 Client Records and Information for Earlobe Piercing License Holder (1) An earlobe piercing license holder is responsible for maintaining and keeping copies of all client records. If client records are maintained by the facility, the facility owner must provide the licensee with copies of those client records upon request. The record must include the following for each client: (a) Name, address, telephone number and date of birth of client; (b) Date of each service; (c) Name and license number of the licensee providing service; (d) Special instructions or notations relating to the client's medical or skin conditions including but not limited to diabetes, cold sores and fever blisters, psoriasis or eczema, pregnancy or breast-feeding/nursing. (e) Complete list of the client’s sensitivities to medicines or topical solutions; (f) History of the client's bleeding disorders; (g) Description of complications during procedure(s); (h) Signature from the client that they have received the following information in writing and verbally: (A) All information related to the earlobe piercing service including possible reactions, side effects and potential complications of the service and consent to obtaining the earlobe piercing service; and (B) After care instructions including care following service, possible side effects and complications and restrictions. (i) Signature from the client that they have been informed, both verbally and in writing, of all information related to the earlobe piercing services including possible reactions, side effects and potential complications of the service and consent to obtaining the earlobe piercing service; (j) Signature that the client has received the Office contact information and how to make a complaint. (k) Proof of age or consent consisting of one of the following: (A) If the client is of older than 18, a copy of a government issued photographic identification. A copy of the government issued photographic identification must be included in the client record; (B) If the client is a minor written parental or legal guardian consent is required. The written parental or legal guardian consent must be submitted to the licensee by the parent or legal guardian prior to piercing the minor. The consenting parent or legal guardian must be 18 years of age and present government issued photographic identification at time of written consent. A copy of the government issued photographic identification must be included in the client record; or (C) If the client is an emancipated minor, copies of legal court documents proving emancipation and government issued photographic identification is required. (2) A licensee may obtain advice from a physician regarding medical Information needed to safeguard client and licensee. Advice from a physician must be documented in the client record. (3) Documentation must be legibly written or computerized. Client documentation, written or archived electronically by computer, must be retained for a minimum of three years and available upon request by the Office. Statutory/Other Authority: 676.615 & 690.390 Statutes/Other Implemented: 690.390 History: HLO 1-2018, amend filed 01/04/2018, effective 01/04/2018 HLA 15-2013, f. 12-30-13, cert. ef. 1-1-14 HLA 10-2012, f. & cert. ef. 6-25-12