Policy Manual

 
  3.ME.3  

Individualized Case Record      

Type: Policy                 Category: Service Delivery                 Level: Community Care 

Parties: Community Care employees and contractees

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Supporting References: COA Standard RPM 7: Case Records

Parent Effective Date Approval Level Revision Dates Last Reviewed
N/A  5-1-1997  Board    1-1-2009
Related Document Code Related Document Name Type
3.MEP.10 Individualized Case Record Procedure

Policy:  It shall be the policy of Community Care that an individualized case record will be maintained for every client. All members of treatment groups will have their own personalized case records and confidentiality for group members will be maintained within individual case records. Client records shall contain identifying information sufficient to describe the client’s background, resources, need for treatment, and documentation of service delivery.