28 Pa. Code § 709.72 - Client records
(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) Client-related correspondence.
(3) Medication records.
(4) Referral contract.
(5) Activity notes.
(b) The project shall develop and maintain client records on standardized project client record forms.
Notes
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