Knowledge of how to make an Additional Chart for an Existing Patient
-
Label a new folder with the patient’s last and first name. Then make a label noting the number of the chart.
-
​Example: “Kindgren, Jeff”
-
Example: "Chart II of II"
-
-
Remove the "C" from the previous chart and put a "C" label on the new chart indicating that it is the new "Current" chart
-
Transfer the following documents from the previous chart to the new chart:
-
Initial evaluation (if present)​
-
Most recent 5 progress notes
-
Most recent Neurofeedback report (if present)
-
Latest release of information
-
-
Place the initial evaluation, progress notes, and NFB report on the LEFT side of the chart, and the release of information on the RIGHT side of the chart
-
Leave previous chart in filing cabinet. It will eventually be brought to the storage unit and then shredded in 7 years.
​