Use of Names or Titles


The PoC must not:

  • include proper names;
  • allude to another provider; or
  • malign an individual.


It is acceptable to use staff designated titles. For example, the:

  • facility LVN;
  • QIDP;
  • program director;
  • facility administrator;
  • facility's contracted psychologist, etc. 


The PoC must also be dated and signed by the administrator or other authorized official. His or her title must be included (SOM 2728B).