Current through Register Vol. 54, No. 44, November 2, 2024
Section 709.44 - Client records(a) The project shall maintain a client record on an individual which shall include, but not be limited to:(1) Histories, which include the following:(ii) Drug or alcohol history, or both.(3) Psychosocial evaluation.(5) Record of services provided.(b) If applicable, the project shall also include the following items in the client record:(1) Results of physical examination.(3) Treatment and rehabilitation plans.(4) Follow-up information.(c) The project shall develop and maintain client records on standardized project client record forms.