Clinical Record. As a psychologist, I maintain confdentiality in creating, storing, accessing, transferring, and disposing of records in any medium. Your Clinical Record includes your reasons for seeking therapy, how your life is being impacted, your diagnosis, the goals that we have set for treatment, your progress toward those goals, your medical and social history, your treatment history, any past treatment records that I receive from other providers, reports of any professional consultations, your billing records, and any reports that have been sent to anyone, including reports to your insurance carrier. By submitting a written request, you may examine and/or receive a copy of your Clinical Record, except in circumstances where disclosure would be injurious to you or would constitute an immediate and grave detriment to your treatment. In such circumstances, I may provide you with an accurate and representative summary of your Clinical Record, if requested. Professional records can be very confusing and/or upsetting to an untrained reader. For this reason, I recommend that you review them in my presence or with another mental health professional. In most circumstances, I will charge a copying/printing fee of $30 for the frst ten pages, 50 per page up to 50 pages, and 25 per page for over 50 pages, plus any postage. If you wish to review your Clinical Record, please address your request to me, so that we can discuss the best way to make this happen. All records and notes are kept double-locked or password protected, and all records are retained for a minimum of seven years as required by law. In the event of your death, the privilege to access your record passes to your estate. In the event of my own incapacitation, withdrawal, or death, another licensed psychologist will assume responsibility for my records. Currently, my records custodian is Xxxx Xxxxxx-Xxxxxxx, Psy.D..
Clinical Record. As a psychologist, I maintain confidentiality in creating, storing, accessing, transferring, and disposing of records in any medium. Your Clinical Record includes your reasons for seeking therapy, how your life is being impacted, your diagnosis, the goals that we have set for treatment, your progress toward those goals, your medical and social history, your treatment history, any past treatment records that I receive from other providers, reports of any professional consultations, your billing records, and any reports that have been sent to anyone, including reports to your insurance carrier. By submitting a written request, you may examine and/or receive a copy of your Clinical Record, except in circumstances where disclosure would be injurious to you or would constitute an immediate and grave detriment to your treatment. In such circumstances, I may provide you with an accurate and representative summary of your Clinical Record, if requested. Professional records can be very confusing and/or upsetting to an untrained reader. For this reason, I recommend that you review them in my presence or with another mental health professional. In most circumstances, I will charge a copying/printing fee of $15 plus 50¢ per page plus any postage. If you wish to review your Clinical Record, please address your request to me, so that we can discuss the best way to make this happen. In addition to your Clinical Record, I also may keep a set of Psychotherapy Notes for my own use. Psychotherapy Notes vary from client to client, but they may include the contents of our conversations, as well as sensitive information that is not required to be included in your Clinical Record. While insurance companies can request and receive a copy of your Clinical Record, they cannot receive a copy of your Psychotherapy Notes without your written AUTHORIZATION. Insurance companies also cannot require such an AUTHORIZATION as a condition of coverage nor penalize you in any way for your refusal. You may request to examine and/or receive a copy of your Psychotherapy Notes unless I determine that such disclosure would be injurious to you. All records and notes are kept double-locked or password protected, and all records are retained for a minimum of seven years as required by law. In the event of your death, the privilege to access your record passes to your estate. In the event of my own incapacitation, withdrawal, or death, another licensed psychologist will assume responsibility for my rec...
Clinical Record a. Any produced material will be delivered to the member CMHSP and/or Provider Agency, as appropriate, and entered into the consumer’s EMR.
Clinical Record. Contractor shall maintain adequate patient records, with a preference for an electronic clinical record, on each individual patient, which shall include diagnostic studies, records of patient interviews, treatment plans, progress notes, and records of services provided by various professional and paraprofessional personnel, in sufficient detail to permit an evaluation of services. Such records shall comply with all applicable federal, state, and county record maintenance requirements. Contractor shall ensure all written “Authorization for Services” documents shall become a part of the Client’s clinical record.
Clinical Record. I keep a clinical record for all of my patients. This record contains this notice, an assessment, a treatment plan, and notes about our meetings. I may also have records that you have authorized to be sent to me from other providers. All of this information is kept in a locked filing cabinet in my office. Patients have the right to review their clinical record at any time, except in the most unusual circumstances. If you wish to review your record, I will do so with you or ask that you arrange for another psychologist to do so. Clinical records may contain professional terminology that is confusing or difficult to understand and which may easily be misinterpreted. This is why I require that people review this initially with a professional present. Copies of professional records can be made with advanced notice and are provided at a fee of $.15 per page.
