Pennsylvania Code
Title 55 - HUMAN SERVICES
Part IV - Adult Services Manual
Subpart D - Nonresidential Agencies/Facilities/Services
Chapter 2390 - VOCATIONAL FACILITIES
CLIENT RECORDS
Section 2390.124 - Content of records

Universal Citation: 55 PA Code ยง 2390.124

Current through Register Vol. 54, No. 44, November 2, 2024

Each client's record must include the following information:

(1) The name, sex, admission date, birthdate and place, Social Security number and dates of entry, transfer and discharge.

(2) The name, address and telephone number of parents, legal guardian and a designated person to be contacted in case of an emergency.

(3) The name and telephone number of a physician or source of health care.

(4) Written consent from the client, parent or guardian for emergency medical treatment.

(5) Physical examinations.

(6) Assessments as required under § 2390.151 (relating to assessment).

(7) A copy of the vocational evaluations, if applicable.

(8) Individual plan documents as required by this chapter.

(9) Incident reports related to the client.

(10) Copies of psychological evaluations, if applicable.

(11) Vocational evaluations as required under § 2390.159 (relating to vocational evaluation).

The provisions of this §2390.124 amended under sections 201(2), 403(b), 403.1(a) and (b), 911 and 1021 of the Human Services Code (62 P.S. §§ 201(2), 403(b), 403.1(a) and (b), 911 and 1021); and section 201(2) of the Mental Health and Intellectual Disability Act of 1966 (50 P.S. § 4201(2)).

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