The facility shall obtain and record the following information
at the time the resident is admitted into the facility:
(1) date and time of admission;
(2) name;
(3) nicknames and aliases;
(4) social security number;
(5) last known address;
(6) adjudicated offense;
(7) name of attorney;
(8) name, title, and signature of delivering individual;
(9) sex;
(10) race;
(11) date of birth;
(12) citizenship;
(13) place of birth;
(14) name, relationship, address, and phone number
of the resident's parents, legal guardians, or custodians; and
(15) primary language of the resident and the resident's
parent, legal guardian, or custodian.
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