20 CAR § 415-307 – Other records content

(a) The beneficiary record shall contain copies of all consultation reports concerning the beneficiary.
(b) When psychometric or psychological testing is done, the beneficiary record shall contain a copy of a written report describing the test results and implications and recommendations for treatment.
(c) The beneficiary medical record shall contain any additional information relating to the beneficiary, which has been secured from sources outside the residential community reintegration program.