Tenn. Comp. R. & Regs. 0940-05-15-.06
Individual Record Requirements
Effective Mar 15, 2003Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-302, 33-1-305, 33-1-309, 33-2-301, and 33-2-302.Tennessee Department of Mental Health and Substance Abuse Services
(1) The record for each service recipient must contain the following information:
- (a) Progress notes which must include written documentation of progress and changes which have occurred within the Plan of Care and, at a minimum, must be developed after each service contact. Progress notes must be dated and minimally include the signature, with title or degree, of the person preparing the note.
- (b) Results of assessments required by rule 0940-05-15-.03; and ADULT DAY TREATMENT SERVICES
- (c) Discharge summary which states, if appropriate, service recipient condition at the time of discharge and signature of staff person preparing the summary.
Authority: T.C.A. §§ 4-4-103, 4-5-202, 4-5-204, 33-1-302, 33-1-305, 33-1-309, 33-2-301, and 33-2-302. Administrative History: Original rule filed May 26, 1988; effective July 11, 1988. Amendment filed December 30, 2002; effective March 15, 2003.