28 Pa. Code § 710.21 - Admission-detoxification
(a) Admission procedures other than initial medical or psychiatric care shall be performed at a time when the patient is mentally and physically capable of comprehension and response.
(b) Admission procedures shall include documentation of the following:
(1) Histories, which include the following:
(i) Medical history.
(ii) Drug or alcohol history, or both.
(iii) Personal history.
(2) Consent to treatment.
(3) Physical examination.
(4) Psychosocial evaluation.
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