R398-10-3. Reporting by Diagnostic, Treatment or Educational Facilities

  Diagnostic, treatment or educational facilities which provide specialized care or individualized education programs for ASD and related disorders shall report or cause to report the following to the Department within thirty days of making an ASD diagnosis or special education classification for autism or other disabilities related to autism:

  (1) patient's name;

  (2) patient's date of birth;

  (3) patient's address;

  (4) home phone;

  (5) patient's sex;

  (6) mother's name;

  (7) mother's date of birth;

  (8) provider name;

  (9) provider degree;

  (10) provider specialty;

  (11) provider address;

  (12) provider phone number;

  (13) diagnosis of autistic disorder, atypical autism, pervasive developmental disorder-not otherwise specified, Asperger's syndrome, or special education classification which makes the individual eligible to receive special education services; and

  (14) date of diagnosis.