New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 37B - COMMUNITY SUPPORT SERVICES FOR ADULTS WITH SERIOUS MENTAL ILLNESSES
Subchapter 10 - RECORDKEEPING
Section 10:37B-10.2 - Progress notes

(a) The PA shall document and maintain progress notes for each consumer for each encounter and in times of crisis and transition.

(b) Progress notes shall indicate the level of goal attainment for goals set forth in the individualized rehabilitation plan, services provided, significant events, and contacts with other service providers. PA staff shall use the information contained in progress notes to recommend frequency of contact.

(c) PA staff shall sign, date, and indicate the time of entry for every progress note they write and shall include their staff titles and credentials.