NAC432A.715. Maintenance of record regarding client.

A provider shall maintain a written record for each client, which must include:

     1. Information relating to vital statistics, including, if applicable, the Medicaid number of the client;

     2. Biographical information concerning the client;

     3. The personal history of the client, including:

     (a) The client’s development socially, emotionally and physically;

     (b) The client’s legal status;

     (c) The name, address and telephone number of appropriate persons to be contacted in emergencies;

     (d) A photograph of the client at the time of admission; and

     (e) Other information that relates to the client’s background and is pertinent to the program;

     4. Health records of the client obtained pursuant to NRS 432A.440 and:

     (a) A history of immunization;

     (b) A list of medications prescribed to the client;

     (c) Records of physical, dental and visual examinations of the client, if relevant to participation in the program; and

     (d) A complete record of any treatment provided for specific illnesses or medical emergencies;

     5. A consent form signed by a parent or guardian authorizing the client to participate in the program, unless the program was ordered by a court;

     6. A copy of the written agreement entered into pursuant to NAC 432A.710;

     7. A copy of the plan for treatment of the client prepared pursuant to NAC 432A.725;

     8. A summary of visits and contacts by the client’s family; and

     9. A summary of the client’s attendance, including the reason for any absences.

     (Added to NAC by Bd. for Child Care, eff. 3-11-92)