Every institution shall keep a register containing a record of all persons admitted and cared for. Such register shall be maintained on a yearly basis in a substantial bound volume or in such other form as may be approved by the director, and shall be signed either by the patient, his physician or a person responsible for the patient's care. The register shall contain the following minimum information:
Name
Admittance address
Age
Sex
Date of admission
Date of discharge
Weight on admission and monthly recordings, if possible
Nursing notes
List of any personal belongings or money turned over to the institution for safekeeping and disposition
Name and address of person responsible for patient
Name and address of attending physician
Diagnosis
Medication orders
Progress notes.
(Mont. Co. Code 1965, § 89-4.)
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