This section of the IHCR shall include the forms listed below and organized in this order:

1. (1) Practitioner’s Orders;
2. (2) Chronological Progress Notes includes but not limited to: all health encounters (sick call, episodic and emergency care, report of health care by non-health care staff, chronological progress notes for nursing and practitioners as well as incidental notes in reverse chronological order);
3. (3) Summary of Off-Site Care (HS 033);
4. (4) Medication Administration Record(s) (MAR) (HS 019);
5. (5) Prior Medical/Physical Assessments and Histories;
6. (6) Prior Facility Entry Physical Health Screenings;
7. (7) Laboratory Tests;
8. (8) Radiological Tests;
9. (9) Mental Health/Behavioral Health Care; and,
10. (10) Dental Care and consents for dental care.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.64(2), 985.145, 985.18 FS. History–New 3-16-14, Amended 2-5-25.