WAC 110-145-2910. Medical records requirements

Licensees must obtain and document the following medical records and information in the children's and youth's well-being files as outlined in WAC 110-145-2890 : (1) Written consent, if applicable, for providing medical care and emergency surgery, unless that care is authorized by a court order; (2) Medical history including, but not limited to: (a) Name of licensed health care providers; (b) Type of medical coverage; (c) Medical conditions, including allergies or dietary restrictions; (d) Current prescription and over-the-counter medications; (e) Immunizations; (f) Upcoming scheduled medical or dental appointments, except for interim facilities; and (g) Dates of any illnesses or accidents while in care; and (3) Mental health history, if applicable including, but not limited to: (a) Current mental health diagnoses or information; (b) Substance use disorder; and (c) Behavioral supports, including medical, psychological, and psychiatric reports when available.