In addition to the health care record requirements found in WAC 182-502-0020, the medical nutrition therapy provider must maintain the following documentation in the client's file:

1. (1) Referral from the provider, as described under WAC 182-555-0300;

2. (2) The medical nutrition therapy provider assessment following the nutrition care process:

   1. (a) Nutrition assessment;
   2. (b) Nutrition diagnosis, including the problem, etiology, signs, and symptoms (PES) statement;
   3. (c) Nutrition intervention;
   4. (d) Nutrition monitoring and evaluation.
3. (3) Any correspondence with the referring provider;
4. (4) Information on associated medical conditions; and
5. (5) Information concerning the medical need.

[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 18-22-060, § 182-555-0600, filed 10/31/18, effective 1/1/19.]