1. (a) Progress notes shall be recorded at least on a weekly basis in residential and inpatient services and following each scheduled appointment in outpatient services.

2. (b) Progress notes shall reflect the client's progress or lack of progress:

   1. (1) in meeting goals;
   2. (2) in staff interventions;
   3. (3) regarding information which may have a significant impact on the client's condition; and
   4. (4) when indicating reviews of relevant laboratory reports and actions taken.

History Note: Authority G. S. 148‑19(d);
Eff. January 4, 1994;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. June 20, 2015.