PDFWAC 182-555-0600
Documentation requirements.
In addition to the health care record requirements found in WAC 182-502-0020, the medical nutrition therapy provider must maintain the following documentation in the client's file:
(1) Referral from the provider, as described under WAC 182-555-0300;
(2) The medical nutrition therapy provider assessment following the nutrition care process:
(a) Nutrition assessment;
(b) Nutrition diagnosis, including the problem, etiology, signs, and symptoms (PES) statement;
(c) Nutrition intervention;
(d) Nutrition monitoring and evaluation.
(3) Any correspondence with the referring provider;
(4) Information on associated medical conditions; and
(5) Information concerning the medical need.