14B NCAC 11C .0404      RECORD OF CLIENT CONTACTS AND INDIVIDUAL PLAN OF CARE

(a)  All programs shall maintain a written record of contact with clients that includes:

(1)           The date of admission, source of and reason for referral and a summary of the problems the client was experiencing at the time of the referral;

(2)           A record of the dates and activities of the client program participation;

(3)           The date and reason for termination from the program; and

(4)           An Individual Plan of Care.

(b)  All information in the client's record shall be considered privileged and confidential and may be released only as required by law.

History Note:        Authority G.S. 143B-516(b)(4); 143B-516(b)(5); 143B-516(b)(9);

Temporary Adoption Eff. July 15, 2002;

Eff. April 1, 2003;

Transferred from 28 NCAC 03A .0404 Eff. June 1, 2013;

Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. January 9, 2018.