Oklahoma Administrative Code
Title 450 - Department of Mental Health and Substance Abuse Services
Chapter 24 - Standards and Criteria for Comprehensive Community Addiction Recovery Centers
Subchapter 7 - Facility Clinical Records
Section 450:24-7-9 - Progress Notes
Universal Citation: OK Admin Code 450:24-7-9
Current through Vol. 42, No. 1, September 16, 2024
(a) Progress notes shall chronologically describe the services provided by date and, for timed treatment sessions, time of service, and the consumer's progress in treatment.
(b) Progress notes must include the consumer's name, be signed by the service provider, and include the service provider's credentials.
(c) Outpatient staff must document each visit or transaction, except for assessment completion or service plan development, including missed appointments.
(d) Compliance with 450:24-7-9 shall be determined by a review of clinical records and policies and procedures.
Added at 28 Ok Reg 2025, eff 10-1-11
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