I have recently started a new job at a clinic in Washington state. At this clinic they do not document any of the shots they give to children because they document them online at the Washington state immunization registry. They say that is sufficient documentation to bill out the shots because those records are a part of the patients medical record. I say they may be part of the patients record but they are not a part of our records. Can anyone shed some light on this? Any suggestions where I can find support of my position?