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Legal notices

Legal notices


  1. Documentation and retention periods for patient files
  2. Inspection of the patient file
  3. Naturopaths - Rights and Duties
  4. Therapeutic use of certain homeopathic and non-prescription drugs



  1. Documentation and retention periods for patient files


The documentation and retention obligations result from § 630g BGB and § 630f BGB and are not only applicable to doctors, but also to naturopaths.

Documentation of the treatment § 630f BGB (Civil Code)


(1) The treating person is obliged to keep a patient file in paper form or electronically for the purpose of documentation in direct temporal connection with the treatment. Corrections and changes to entries in the patient file are only permitted if, in addition to the original content, it can be seen when they were made. This must also be ensured for electronically managed patient files.


(2) The treating person is obliged to record in the patient file all measures and their results that are essential from a professional point of view for the current and future treatment, in particular the anamnesis, diagnoses, examinations, examination results, findings, therapies and their effects, interventions and their effects, Consents and explanations. Doctor's letters are to be included in the patient file.


(3) The treating person must keep the patient file for a period of ten years after the end of the treatment, unless other retention periods exist in accordance with other regulations.


Related Links


Documentation and retention obligation : https://www.gesetze-im-internet.de/bgb/__630f.html


Inspection of the patient file : https://www.gesetze-im-internet.de/bgb/__630g.html



2. Inspection of the patient file Section 630g BGB (Civil Code)

(1) Upon request, the patient is to be given immediate access to the complete patient file concerning him, provided that the inspection does not conflict with significant therapeutic reasons or other significant rights of third parties. The refusal of inspection must be justified.

§ 811 is to be applied accordingly.

(2) The patient can also request electronic copies of the patient file. He has to reimburse the treating person for the costs incurred.

(3) In the event of the patient's death, his heirs are entitled to the rights under Paragraphs 1 and 2 to safeguard property interests. The same applies to the patient's next of kin, insofar as they assert immaterial interests. The rights are excluded insofar as the patient's express or presumed will contradicts viewing.



3. Naturopaths - Rights and Duties


The rights and duties of the naturopath result from the Heilpraktikergesetz (HeilprG) and the implementation ordinance (HeilprDV of December 31, 2017). Naturopaths are legally obliged to take an anamnesis and prepare a psychopathological report before the initial treatment.


Naturopaths are not allowed to make promises of healing.


https://www.habenkonferenz-heilpraktiker.de/fragen-und-rechner/#1587114635789-c530130c-fde4



4. Therapeutic use of certain homeopathic and non-prescription drugs


In 13 federal states, including Saxony, the inclusion of homeopathic and non-prescription drugs in the psychotherapeutic treatment of alternative practitioners psychotherapy has been confirmed by unequivocal statements by the authorities.

The State Ministry for Social Affairs and Consumer Protection of the Free State of Saxony dated November 22, 2011, AZ: 26.5417.00 / 2 on this: "The recommendation on the use or regulation of non-prescription drugs by alternative practitioners in the field of psychotherapy is therefore not subject to any pharmaceutical law restrictions."



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