The partial hospitalization program’s policies and procedures shall:
- (1) Define the content of the client’s medical record;
- (2) Define storage, retention, and destruction requirements for client medical records;
- (3) Require client medical records be confidentially maintained in locked equipment under secure measures;
- (4) Require legible entries in client medical records signed with first name or initial, last name, credentials, and dated by the person making the entry;
- (5) Require the client's name be typed or written on each sheet of paper or page in the client record;
- (6) Require a signed consent for treatment before the client is admitted; and
- (7) Require a signed consent for follow-up before any contact after discharge is made.