Section 325.14907. Progress notes.

(1) A client's progress and current status in meeting the objectives established in the treatment plan, together with a statement of the efforts by staff members to help the client achieve these stated objectives, shall be recorded in the client's case record for every formal client counseling session. A progress note shall be dated  and  signed  by the individual who makes the entry.

(2)   All progress notes shall be dated and signed by the individual who makes the entry.

(3)   If a client is receiving services at an outside resource, the program shall attempt to secure a written case summary, case evaluation, and other client records from that resource. These records shall be added to the client's case record.

(4)    The ongoing assessment of the client's progress with respect to achieving treatment plan objectives shall be used to update the  treatment plan.

History: 1981 AACS.