The individuals authorized to document entries in specialized patient records include _____.

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Licensed health care professionals, such as physicians, nurses, and therapists, are authorized to document entries in specialized patient records under their scope of practice. Health information technicians may assist with organizing and maintaining the records, but typically do not have authorization to document entries. Medical assistants and unit clerks may assist with administrative tasks related to the records, but do not have the necessary training or credentials to document entries.

The Individuals Authorized to Document Entries in Specialized Patient Records