The patient's name will appear in the title of the individual page, followed by the reason for visit. Below this information, patient weight, height, blood type, and blood pressure will be listed. Any X-rays, MRI or CT scans taken/ordered are required as a portion of each individual chart. The next required section included should be a detailed explanation of how injury occurred. Remind patient that any background information withheld only hinders the treatment and healing process. If patient is unconscious or unable to speak on behalf of themselves, a patient advocate may provide any information post request of legal documentation. Any and all treatment including but not limited to injections, wound care, surgery, etc. are required to be recorded in patient's chart.