Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 21 - Alcohol and Drug Substance Abuse Courses (ADSAC) and Assessments
Subchapter 1 - General Provisions
Section 450:21-1-7.6 - Participant records, basic requirements

(a) Participant records shall be developed and maintained to ensure that all appropriate individuals have access to relevant course and other information regarding the participant. The record shall communicate information in a manner that is organized, clear, complete, current and legible.

(b) Entries in participant records shall be legible, signed with first name or initial, last name, and dated by the person making the entry.

(c) The participant shall be identified by name or unique identifier on each sheet in participant records not in electronic format.

(d) A signed consent for treatment shall be part of the case record for any person admitted to an ADSAC course or administered an ADSAC assessment.

(e) A signed consent for release of information in accordance with federal and state laws, guidelines, and standards, including OAC 450:15-3-20.1 and OAC 450:15-3-20.2 shall be a part of the participant's case record. For disclosure of information related to substance use disorder referral, payment, and follow up, a signed consent is required.