Okla. Admin. Code § 450:18-7-101

Current through Vol. 42, No. 8, January 2, 2025

Section 450:18-7-101 - Progress notes

(a) Progress notes shall chronologically describe the services provided by date and, for timed treatment sessions, time of service, and the consumer's progress in treatment.

(b) Progress notes must include the consumer's name, be signed by the service provider, and include the service provider's credentials.

(c) Outpatient staff must document each visit or transaction, except for assessment completion or service plan development, including missed appointments.

(d) Compliance with 450:18-7-101 may be determined by a review of the following:

(1) Policies and procedures;

(2) Consumer records;

(3) Progress notes;

(4) Interviews with staff; and

(5) Other facility documentation.

Okla. Admin. Code § 450:18-7-101

Added at 13 Ok Reg 2769, eff 7-1-96; Amended at 19 Ok Reg 2375, eff 7-1-02; Amended at 22 Ok Reg 2109, eff 7-1-05; Amended at 23 Ok Reg 1953, eff 7-1-06; Amended at 24 Ok Reg 2580, eff 7-12-07; Amended at 27 Ok Reg 2237, eff 7-11-10

Amended by Oklahoma Register, Volume 39, Issue 24, September 1, 2022, eff. 9/15/2022