West Virginia Code of State Rules
Agency 69 - Health And Human Resources
Title 69 - LEGISLATIVE RULE DEPARTMENT OF HEALTH AND HUMAN RESOURCES
Series 69-07 - Regulations of Opioid Treatment Programs
Section 69-7-35 - Documentation of Patient Contact
Universal Citation: 69 WV Code of State Rules 69-7-35
Current through Register Vol. XLI, No. 38, September 20, 2024
35.1. The primary counselor or medical staff is responsible for documentation of significant contact with each patient, which shall be filed in the patient record.
35.2. The documentation shall include a description of:
35.2.a. The reason for or
nature of the contact;
35.2.b. The
patient's current condition;
35.2.c. Significant events occurring since
prior contact;
35.2.d. The
assessment of patient status; and
35.2.e. A plan for action or further
treatment.
35.3. Each entry shall be completed within twenty-four hours of the contact and shall be clearly dated and initialed or signed by the staff person involved.
Disclaimer: These regulations may not be the most recent version. West Virginia 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.
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