Documentation Standards
•ASSESSMENT
•The following areas will be included as appropriate as part of a comprehensive client record (continued):
G.A mental health history will be documented, including:  previous treatment dates, providers, therapeutic interventions and responses, sources of clinical data, relevant family information and relevant results of relevant lab tests and consultation reports.
H.For children and adolescents, pre-natal and perinatal events and complete developmental history will be documented.
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