- (a) The PACT shall have a policy and procedure mandating the chronological documentation of progress notes. Every service that relates to the consumer's treatment shall be documented.
- (b) Progress notes shall chronologically describe the services provided by date and, for timed treatment sessions, time of service, and the consumer's progress in treatment.
- (c) Progress notes must include the consumer's name, be signed by the service provider, and include the service provider's credentials.
- (d) Compliance with 450:55-5-9 shall be determined by a review of clinical records.
Added at 20 Ok Reg 683, eff 2-27-03 (emergency)
Added at 21 Ok Reg 1093, eff 7-1-04
Amended at 22 Ok Reg 974, eff 7-1-05
Amended at 24 Ok Reg 1422, eff 7-1-07
Amended at 27 Ok Reg 1015, eff 7-1-10
Amended at 39 Ok Reg 2007, eff 9-15-22