(a) You must include the following in the child's record at the time of admission:
  (1) The child's name, gender, race, religion, and date of birth;
  (2) The name, address, and telephone number of the managing conservator, the primary caregivers for the child, any person with whom the child is allowed to leave the operation, and any other individual who has the legal authority to consent to the child's medical care;
  (3) The names, addresses, and telephone numbers of biological or adoptive parents, unless parental rights have been terminated;
  (4) The names, addresses, and telephone numbers of siblings;
  (5) The date of admission;
  (6) Medication the child is taking;
  (7) The child's immunization record;
  (8) Allergies, such as food, medication, sting, and skin allergies;
  (9) Chronic health conditions, such as asthma or diabetes;
  (10) Known contraindications to the use of restraint;
  (11) Identification of the child's treatment needs, if applicable, and any additional treatment services or programmatic services the child is receiving;
  (12) Identification of the child's high-risk behaviors, if applicable, and the safety plan staff and caregivers will implement related to the behaviors;
  (13) If a suicide risk screening is required at admission and the child is screened as having a high or potential risk of suicide:
    (A) The identification of any risk factors or warning signs of suicide, if applicable and not already identified in paragraph (12) of this subsection; and
    (B) The safety plan staff and caregivers will implement related to the risk factors and warning signs;
  (14) The results of the suicide screening at admission, if required;
  (15) A copy of the placement agreement, if applicable; and
  (16) Documentation of the attempt to notify the parent of the child's location as required by §748.1211(c)(3) of this title (relating to What information must I share with the parent at the time of placement?), if applicable.
(b) If you admit a child for emergency care services, you must document the information:
  (1) Regarding the reason for admission in the child's record upon admission; and
  (2) In subsection (a) of this section within 72 hours after you admit the child. If any information is not available within that time frame, you must document in the child's record reasonable efforts made to obtain the information.
(c) For emergency admissions, as opposed to a child receiving emergency care services, you must meet the requirements in Division 2 of this subchapter (relating to Emergency Admission).

Source Note: The provisions of this §748.1205 adopted to be effective January 1, 2007, 31 TexReg 7377; amended to be effective September 1, 2010, 35 TexReg 7497; amended to be effective March 1, 2014, 39 TexReg 1192; amended to be effective January 1, 2017, 41 TexReg 10393; transferred effective March 9, 2018, as published in the Texas Register February 16, 2018, 43 TexReg 909; amended to be effective September 19, 2022, 47 TexReg 5484