NAC449.40835. Records.

     1. Each facility must have a written policy regarding the records of clients. The policy must include a description of the procedures governing the use and removal of records and the release of information contained in the records.

     2. An individual file must be maintained for each client and retained for 5 years after the client permanently discontinues his or her use of the facility. Each such file must be kept in a locked place which is resistant to fire and must be available only to authorized persons. The file must contain all records, letters and other information related to the client, including:

     (a) The client’s forms for application and enrollment;

     (b) The client’s medical information;

     (c) The client’s full name, address, race, religion, occupation, date of birth and social security number;

     (d) The telephone number of the client’s physician and home address and telephone number of his or her next of kin or guardian or other person responsible for him or her; and

     (e) Any signed authorizations for medical treatment for the client or the release of his or her medical information.

     3. All records and reports in the client’s file must be typewritten or legibly written in ink and dated and signed by the person responsible for the files.

     (Added to NAC by Bd. of Health, eff. 6-23-86)