(a)

1. (1) When a youth leaves a Division of Youth Services or contracted facility or program for any overnight period, the facility or program shall complete a health summary form and transmit that form in hard copy with the youth.

2. (2) The health summary form shall contain, at a minimum, the following information:

   1. (A) All medical and behavioral conditions for which the youth receives treatment or which may impact the youth’s health and safety, including without limitation:

(i) Allergies;

1. (ii) Acute and chronic illness; and

   1. (iii) Disabilities;
   2. (B) A list of prescribed medications with dosage and administration instructions;
   3. (C) Any special nutritional needs or diet;
   4. (D) Any scheduled appointments; and
   5. (E) Name and contact information for the youth’s legal custodian.

(b)

1. (1) In addition to the health summary form, the facility or program shall send, in secure packaging, all of the youth’s current medication and any medical equipment used by or purchased for the youth, including:

   1. (A) Epinephrine pens;
   2. (B) Eyeglasses;
   3. (C) Retainers;
   4. (D) Inhalers or atomizers; and
   5. (E) Other medication or medical equipment use by or purchased for the youth.
2. (2) An inventory slip of all medications and medical equipment shall be included in the package and receipt signed by the facility, program, or individual receiving the youth.