ARM 37.106.3025. EATING DISORDER CENTERS (EDC): CLINICAL RECORDS

(1) An EDC's clinical records must contain the following: (a) the name, address, date of birth, and gender of the client; (b) the name and contact information for the client's family and any legally authorized representative; (c) be in the preferred language and include any special communication needs of the client; (d) a reason of admission for care, treatment, or services; (e) an initial screening assessment; (f) a clinical intake assessment; (g) medical information including results of physical exam and laboratory testing; (h) an initial plan of care and plan of care reviews; (i) documentation of individual, family, and group therapy; (j) documentation of family involvement or reason why involvement is contraindicated; (k) documentation of consultations with a registered dietitian; (l) documentation of monitoring the client's weight and food related behaviors as outlined in the plan of care; and (m) a discharge summary.