N.J. Admin. Code § 13:42B-6.5

Current through Register Vol. 56, No. 24, December 18, 2024

Section 13:42B-6.5 - Recordkeeping

(a) Licensees shall make contemporaneous, permanent entries into client records that shall accurately reflect the applied behavior analysis services rendered. Client records shall be maintained for a period of seven years from the date of the most recent entry. The client record shall contain, at a minimum:

1. Intake record;

2. The dates of each service;

3. Quantitative data collection and analysis;

4. Summary of each session;

5. The name, title, and license number of the licensee who provided services;

6. Safety level of the client, including instances of self-harm, aggression towards others, or contact with safety or health officials; and

7. Any referral to another healthcare professional.

(b) Corrections and/or additions to existing records may be made to a client record, provided that each change is clearly identified as such, dated, and initialed by the licensee making the change.

(c) Records for minors shall be kept for seven years from the date of the last entry or until the client turns 25 years old, whichever is longer.

(d) Licensees shall provide client records to the Board, upon request.

N.J. Admin. Code § 13:42B-6.5

Adopted by 56 N.J.R. 782(a) effective 5/6/2024