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Health Records Officers’ Act was promulgated formally by Decree No. 39 of 1989 (HROA; 1989) now CAP 166 LFN1990. The Decree establishes a Board for general administration of the profession of Health Records management in Nigeria. The paper which was a desk top study discovered the constitutional requirements for the Health information practices and implementation strategies as stipulated by the Act. The study revealed the prospects and challenges associated with the implementation of the Act on the professionals. The work recommended among others, continuous education of member of the profession will aid enormously in awareness creation toward compliance with the legislative provision of the members.