Tenn. Comp. R. & Regs. 0940-05-26-.04 - Client Record Requirements for Placement Services Facilities

(1) Each client record must contain the following information:
(a) A recent photograph and a description of the client;
(b) The client's social security number;
(c) The client's legal competency status;
(d) The client's sources of financial support including social security, veteran's benefits and insurance;
(e) The sources of coverage for medical care costs;
(f) The name, address and telephone number of the physician or health agency providing medical services;
(g) Documentation of all drugs prescribed or administered by the facility which indicates date prescribed, type, dosage, frequency, amount and reason;
(h) A discharge summary which states the date of discharge, reasons for discharge and referral for other services, if appropriate;
(i) Report of medical problems, accidents, seizures and illnesses and treatments for such medical problems, accidents, seizures and illnesses;
(j) Report of significant behavior incidents and of actions taken;
(k) Report of the use of restrictive behavior management techniques;
(l) A list of each individual article of each client's personal property valued at fifty dollars ($50) or more, including its disposition if no longer in use; and
(m) Written accounts of all monies received and disbursed on behalf of the client.


Tenn. Comp. R. & Regs. 0940-05-26-.04
Original rule filed May 26, 1988; effective July 11, 1988.

Authority: T.C. A. ยง 33-2-504.

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