Rule 290-2-19-.06. Case Records

1. (1) A confidential case record shall be maintained for each unmarried mother. Records for each mother shall include:

   1. (a) Application for service;
   2. (b) Basic identifying information for unmarried mother and the putative father. Name, birthdate, nationality, religion, education, occupation, health history, marital status, home address;
   3. (c) Background history or referral summary - and background history for the putative father;
   4. (d) Authorization for medical care signed by mother at time of admission. For minors under eighteen (18) written approval shall be secured from parent or guardian;
   5. (e) A copy of any financial agreements made;
   6. (f) Date of admission to and discharge from the hospital if confinement is outside the Home;
   7. (g) Name of baby, sex, and birthdate;
   8. (h) Correspondence, regarding the mother;
   9. (i) Plan for child at time of discharge of the mother;
   10. (j) Narrative recording of casework interviews;
   11. (k) Date of discharge of mother and to whom discharged if a minor.

2. (2) A confidential case record for the baby shall contain:

   1. (a) A record of birth including birthdate, weight at birth, measurements, any defects, method of delivery, complications of pregnancy and delivery;
   2. (b) An entry indicating birth registration;
   3. (c) Any formula prescribed;
   4. (d) Date of discharge;
   5. (e) Name and address of person and/or name of agency and worker to whom discharged, if not to mother.

Authority: Ga. L. 1963, pp. 81-121; Ga. L. 1972, pp. 1015, 1046, 1048. Effective November 10, 1974.

History. Original Rule was filed on October 21, 1974; effective November 10, 1974.