Library: Policy

317:30-5-644. Documentation of records

Revised 9-12-14

     All early intervention services rendered must be reflected by documentation in the records.  Documentation of records must include the provider's signature or identifiable initials for every prescription or treatment.  Documentation of records may be completed manually or electronically in accordance with guidelines found at OAC 317:30-3-15.  Each required element of the age specific screening must be documented with a description of any noted problem anomaly or concern.  In addition, a plan for following necessary diagnostic evaluations, procedures and treatments, must be documented.