Rule 37.98.705 - PHYSICAL EXAMINATION(1) All physical examinations must be completed by an appropriate licensed practitioner. A youth must have a physical examination: (a) within 30 days prior to admission into the program;(b) at least annually after entering the program; and(c) at any time when circumstances indicate that an updated examination would be appropriate.(2) The result of the physical examination must be recorded on a standard form provided by the program. The form shall clearly identify to the examining practitioner the type and extent of physical activity which the youth will be asked to participate in.(3) The physical examination must include: (a) a complete blood count (CBC), a urinalysis and an electrolyte screen, if deemed necessary by the examining practitioner;(b) a pregnancy test for each female if deemed necessary by the examining practitioner;(c) a physical assessment to determine the youth's fitness for the climate and temperature in which the youth will be participating and the youth's age, weight and physical condition;(d) a determination of whether detoxification is indicated for the youth prior to entrance into the program;(e) identification of any physical problems which would limit the youth's physical activity;(f) identification of any special care which the youth will need;(g) a record of immunizations as defined in ARM 37.114.701 through 37.114.716. In addition the immunization record must include: (i) evidence of hepatitis A series, if deemed necessary by a practitioner;(ii) evidence of hepatitis B series, if deemed necessary by a practitioner;(h) a history of communicable diseases and serious illnesses or operations the youth has had;(i) identification of any known drug reactions and allergies;(j) identification of medications being taken during the six months prior to the examination, and a description of any possible special needs due to the use of medication in an outdoor, high impact environment;(k) identification of any necessary special dietary requirements; and(l) identification of any hereditary health issues that may affect the youth.(4) If a youth is in a risk group for circulatory or auto-immune syndrome disorder, written approval must be included on the physical examination form by the practitioner for participation in the program.(5) The practitioner conducting the examination must give written approval on the examination form for participation in the program, taking into consideration the factors specified in this rule and any other factors the practitioner deems to be relevant to the youth's participation in the program. The practitioner conducting the physical examination must give separate written approval on the examination form for the youth's participation in the following situations or activities: (b) exposure to cold and hot temperatures; and(c) activities that may occur in altitudes over 5000 feet.(6) A program may not admit a youth who is not approved by the examining practitioner for admission to the program. The program shall comply with all restrictions or limitations placed on a youth by the examining practitioner.(7) The original physical examination form must be maintained at the field office and a copy must be carried by staff in a waterproof container when the youth is away from the field office. The physical examination form must be maintained in a manner that assures the confidentiality of all medical and identification information.Mont. Admin. r. 37.98.705
NEW, 2004 MAR p. 1960, Eff. 8/6/04.Sec. 50-5-220, MCA; IMP, Sec. 50-5-220, MCA;