Pennsylvania Code
Title 28 - HEALTH AND SAFETY
Part V - Department of Drug and Alcohol Programs
Chapter 709 - STANDARDS FOR LICENSURE OF FREESTANDING TREATMENT FACILITIES
Subchapter H - STANDARDS FOR PARTIAL HOSPITALIZATION ACTIVITIES
Section 709.83 - Client records
Universal Citation: 28 PA Code ยง 709.83
Current through Register Vol. 54, No. 44, November 2, 2024
(a) There shall be a complete client record on an individual which includes information relative to the client's involvement with the project. This shall include, but not be limited to the following:
(1) Consent
forms.
(2) Treatment and
rehabilitation plan.
(3)
Client-related correspondence.
(4)
Case consultation notes.
(5)
Medication records.
(6) Aftercare
plans, if applicable.
(7) Referral
contact.
(8) Record of services
provided.
(9) Progress
notes.
(10) Discharge
summary.
(11) Follow-up
information.
(12) Verification that
work done by the client at the project is an integral part of the treatment and
rehabilitation plan.
(b) The project shall develop and maintain client records on standardized project client record forms.
Disclaimer: These regulations may not be the most recent version. Pennsylvania may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
