An ALR shall not provide any billable service or item that will be at a cost additional to the resident's existing balance for the billing cycle unless the ALR has first:
An ALR shall keep a copy of the written notice and signed acknowledgment required by this subsection in the resident's record.
An ALR shall be excused from the requirements of §10111.01 if emergency circumstances necessitate the immediate provision of an item or service that would otherwise have required advance disclosure of the fees, rates, and charges. An ALR shall provide the disclosures described in §10111.01(a) and obtain the signature confirmation described in §10111.01(b) upon concluding its assessment of the resident following the emergency.
If an ALR is unable to obtain a resident's (or surrogate's) signed acknowledgement required by § 10111.1 after diligent efforts, the ALR may make note of its inability to obtain the signature on the signature line, which shall include a brief description of the method and number of attempts made to obtain the signature, the dates the attempts were made, and the name of the employee who made the attempts.
D.C. Mun. Regs. tit. 22, r. 22-B10111