Agency Schedule Detail

Authorization Number : 580-1230

Agency Series No. : XR-01H

Status : Active

Agency Web Link :

Agency : DMH

Confidential Description : N/A-Load

Division : DMH0483

Vital Description :

Section :

Record Title : X-Ray Records (Does Not Include Dental)

Revision : 0

Record Description : X-ray films of patients and employees. Includes but not limited to copies of the Radiographic Report (MedR-1062A) form, X-ray Index and Diagnosis Card (XR-001, which shows the patients name, ID number, x-ray number, tests and results), and x-ray ledger/a

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 5 years, then destroy	No value at Conversion	Microform	Shred
Retain 5 years, then destroy	No value at Conversion	Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Transfer User	Records Viewer	8/28/1997 12:00:00 AM

Notes

Date	Reason	User