<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".05" citation="COMAR 10.36.07.05" title_num="10" subtitle_num="36" chapter_num="07" heading="Recordkeeping.">
  <paragraph num="A.">
    <text>The recordkeeping requirements of this regulation are in addition to the recordkeeping requirements in COMAR 10.36.05.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Supervisory Sessions.</text>
    <paragraph num="(1)">
      <text>A supervisor and registered psychology associate shall maintain appropriate documentation of the nature and extent of the supervision provided or delegated, including the:</text>
      <paragraph num="(a)">
        <text>Dates and duration of supervisory sessions;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Client names or other identification for all cases;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Outcome of each case reviewed;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Signatures of both the supervisor and registered psychology associate; and</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Reason for any delegation of supervisory responsibility.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A supervisor and registered psychology associate shall provide documentation of supervisory sessions upon request by the Board.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Documentation of the supervisory sessions shall be maintained by the supervisor and registered psychology associate for at least 5 years.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Clinical Records.</text>
    <paragraph num="(1)">
      <text>A registered psychology associate shall have the supervisor co-sign all clinical documents, including:</text>
      <paragraph num="(a)">
        <text>Evaluations;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Authorizations for release;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Treatment plans; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Report.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Except as otherwise required, after the initial entry of the supervisor’s name and license number in a client file or medical record, a registered psychology associate may omit repetitive references to the supervisor.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Routine entries made by a registered psychology associate do not have to be cosigned by the supervisor, unless failure to do so would result in a misrepresentation of the services provided.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Documentation of site visits shall be maintained by the supervisor and the registered psychology associate for at least 5 years, and shall include:</text>
    <paragraph num="(1)">
      <text>Date and time of visit;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Site location; and</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Any issues or concerns relating to the registered psychology associate’s provision of services at the site.</text>
    </paragraph>
  </paragraph>
</regulation>