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Agency Schedule Detail

Authorization Number :  501-0367
Agency Series No. :  MED-0007
Status :  Active
Agency Web Link : 
Agency :  DRC
Confidential Description : 
Division :  DRC0110
Vital Description :  Statistical medical information
Section :  DRC0110
Record Title :  Supporting Medical Documents
Revision :  0
Record Description :  Forms used for supporting diagnosis and treatment of offenders including DRC Forms: 2309; 2553; 4178; 5006; 5021; 5050; 5052; 5064; 5069; 5070; 5085; 5091; 5092; 5095; 5101; 5112; 5149; 5152; 5156; 5188; 5204; 5206; 5277; 5278; 5279; 5282; 5283; 5284; 5285; 5333; 5337; 5338; 5339; 5340; 5341; 5342; 5343; 5344; 5345; 5346; 5347; 5348; 1785; 5361; 5362; 5363; 5364; 5365; 5367; 5372; 5375; 5377; 5378; 5379; 5380; 5382; 5383; 5384; 5387; 5391; 5410; 5420; 5423; 5424; 5425; 5426; 5427; 5428; 5429; 5434; 5435; 5436; 5437; 5438; 5439; 5441; 5445; 5433; 5463. The forms included in this schedule are not maintained in the offender''s individual medical file.
Retention Period Retention Justification Media Code Method of Disposal
Retain three years, then destroy. Paper Shred
Retain three years, then destroy. Electronic Delete

Approvals

Status Name Title Date
Approved Karen Sorrell Records Officer 10/12/2006 11:11:00 AM
Approved Michael Hardenbrook Record Administrator 10/16/2006 11:03:00 AM
Approved Martin Meeks State Auditor 10/17/2006 2:41:00 PM
Approved Steve Gutgesell State Archivist 10/26/2006 8:33:00 AM

Notes

Date Reason User

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