(a) There shall be a complete client record on an individual which includes information relative to the client’s involvement with the project. This shall include, but not be limited to, the following:
- (1) Consent forms.
- (2) Medication records.
- (3) Record of services provided.
- (4) Referral contact.
- (5) Progress notes.
- (6) Individualized treatment and rehabilitation plan.
- (7) Client-related correspondence.
- (8) Case consultation notes.
- (9) Aftercare plan, if applicable.
- (10) Discharge summary.
- (11) Follow-up information.
- (12) Verification that work done by the client at the project is an integral part of his treatment and rehabilitation plan.
- (13) Documentation of special dietetic needs, if applicable.