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no one, not even the examining nurse who wrote the original note, may add to a note after a note has been dated, written and signed by that nurse. A separate/new entry note must be made (however, only if/as permitted by the document rights/regulations) Not sure exactly what type of document includes note that you refer to in your question, but answer above I am forwarding pertains to any and all legal, medical documentation and applies nationwide. If, by chance, your question is regarding a non official, or legal documentation, for example, a note written on a post it note sitting on a desk we'll just say, then no legal regs would apply since this would not be a document with any legal binding. Hope this makes sense and helps some.
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