Rule 37.106.3025 - EATING DISORDER CENTERS (EDC): CLINICAL RECORDS(1) An EDC's clinical records must contain the following: (a) the name, address, date of birth, and gender of the client;(b) the name and contact information for the client's family and any legally authorized representative;(c) be in the preferred language and include any special communication needs of the client;(d) a reason of admission for care, treatment, or services;(e) an initial screening assessment;(f) a clinical intake assessment;(g) medical information including results of physical exam and laboratory testing; (h) an initial plan of care and plan of care reviews;(i) documentation of individual, family, and group therapy;(j) documentation of family involvement or reason why involvement is contraindicated;(k) documentation of consultations with a registered dietitian;(l) documentation of monitoring the client's weight and food related behaviors as outlined in the plan of care; andMont. Admin. r. 37.106.3025
NEW,2018 MAR p. 2214, Eff.11/3/2018AUTH: 50-5-247, MCA; IMP: 50-5-247, MCA