1. (a) Current case records shall be maintained on individuals furnished rehabilitation teaching evaluation services or rehabilitation teaching instructional and follow-up services. Previous information deemed appropriate to the provision of evaluation or instruction shall be included in the current case record.

2. (b) The complete record of a case closed from rehabilitation teaching services includes but is not limited to the documents and completed forms as follows:

   1. (1) Application and Referral for Service, Form OB-1. Along with the form related correspondence and request for rehabilitation teaching services with justification must be included.
   2. (2) Written documentation by an ophthalmologist or optometrist. A written documentation clearly indicating client’s visual acuity eligibility as defined in the term ‘‘blindness, legal,’’ in § 2450.2 (relating to definitions). In instances of total and irreversible blindness, a written statement by the rehabilitation teacher or other qualified worker is acceptable.
   3. (3) Medical and psychological records. If there is an indication that, in addition to blindness, the applicant has a physical or mental disability which would contraindicate provision of rehabilitation teaching services, in whole or in part, a statement shall be obtained from a qualified physician indicating the limits on activity imposed by the disability.
   4. (4) Rehabilitation teaching evaluation report. See § 2450.72 (relating to evaluation report.)
   5. (5) Rehabilitation teaching progress reports.
   6. (6) Rehabilitation teaching case closure report, as described in § 2450.102 (relating to Rehabilitation Teaching Case Closure Report, Form OB-515).

Cross References

This section cited in 55 Pa. Code § 2450.101 (relating to evaluation).