PROFESSIONAL RECORDS. You should be aware that, according to the rules of HIPAA, I keep Protected Health Information about you in two sets of professional records. One set constitutes your Clinical Record. It includes information about your reasons for seeking therapy, a description of the ways in which your problem impacts on your life, your diagnosis, the goals that we set for treatment, your progress towards 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. In addition, I also keep a set of Psychotherapy Notes. These Notes are for my own use and are designed to assist me in providing you with the best treatment, While the content of Psychotherapy Notes vary from client to client, they can include notes regarding the contents of our conversations, my analysis of those conversations, and how they impact on your therapy. They also can contain particularly sensitive information that you may reveal to me that is not required to be included in your Clinical Record. These Psychotherapy Notes are kept separate from 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 signed, written Authorization. Insurance companies cannot require your Authorization as a condition of coverage nor penalize you in any way for your refusal. You may examine and/or receive a copy of both sets of records, if you request it in writing. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. For this reason, I recommend that you initially review them in my presence, or have them forwarded to another mental health professional so you can discuss the contents. In most circumstances, I am allowed to charge a fee for copying records. The exceptions to this policy are contained in the Privacy Notice form. PATIENT RIGHTS HIPAA provides you with several new or expanded rights with regard to your Clinical Record and disclosures of protected health information. These rights include requesting that I amend your record; requesting restrictions on what information from your Clinical Record is disclosed to others; requesting an accounting of most disclosures of Protected Health Information that you have neither conse...
PROFESSIONAL RECORDS. The laws and standards of my profession require that I keep Protected Health Information about you in your Clinical Record. Except in unusual circumstances that involve danger to yourself and/or others, or where information has been supplied to me confidentially by others, or the record makes reference to another person (unless such other person is a health care provider) and I believe that access is reasonably likely to cause substantial harm to such other person, you may examine and/or receive a copy of your Clinical Record, if you request it in writing. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. For this reason, I recommend that you initially review them in my presence, or have them forwarded to another mental health professional so you can discuss the contents. In most circumstances, I am allowed to charge a copying fee and for certain other expenses. If I refuse your request for access to your records, you have a right of review (except for information that has been supplied to me confidentially by others) which I will discuss with you upon request. MINORS & PARENTS Patients under 18 years of age who are not emancipated and their parents should be aware that the law may allow parents to examine their child’s treatment records. Because privacy in psychotherapy is often crucial to successful progress, particularly with teenagers, it is sometimes my policy to request an agreement from parents that they consent to give up their access to their child’s records. If they agree, during treatment, I will provide them only with general information about the progress of the child’s treatment, and his/her attendance at scheduled sessions. I will also provide parents, upon request, a summary of their child’s treatment when it is complete. Any other communication will require the child’s Authorization, unless I feel that the child is in danger or is a danger to someone else, in which case, I will notify the parents of my concern. Before giving parents any information, I will discuss the matter with the child, if possible, and do my best to handle any objections he/she may have. PATIENT RIGHTS HIPAA provides you with several rights with regard to your Clinical Record and disclosures of protected health information. These rights include requesting that I amend your record; requesting restrictions on what information from your Clinical Record is disclosed to others; requesting an accounting of most disclos...
PROFESSIONAL RECORDS. I am required to keep appropriate records of the psychological services that I provide. Your records are maintained in a secure location in the office. I keep brief records noting that you were here, your reasons for seeking therapy, the goals and progress we set for treatment, your diagnosis, topics we discussed, your medical, social, and treatment history, records I receive from other providers, copies of records I send to others, and your billing records. Except in unusual circumstances that involve danger to yourself, you have the right to a copy of your file. Because these are professional records, they may be misinterpreted and / or upsetting to untrained readers. For this reason, I recommend that you initially review them with me, or have them forwarded to another mental health professional to discuss the contents. If I refuse your request for access to your records, you have a right to have my decision reviewed by another mental health professional, which I will discuss with you upon your request. You also have the right to request that a copy of your file be made available to any other health care provider at your written request.
PROFESSIONAL RECORDS. The laws and standards of my profession require that we keep treatment records. You are entitled to receive a copy of your records, or we can prepare a summary for you instead. Because these are professional records, they can be misinterpreted and/or upsetting. If you wish to see your records, we recommend that you review them in our presence.
PROFESSIONAL RECORDS. The law and professional standards require that your healthcare professional keep treatment records. You are protected under the provision of the Federal Health Insurance Portability and Accountability Act (HIPAA). This law insures the confidentiality of your healthcare records. These records are encrypted and handled with special safeguards to insure confidentiality. If you, or someone acting on your behalf, request these records they will be provided upon written request. Your records may be reviewed, in session, with your healthcare professional. If a third party such as an insurance company is paying for your treatment, it is typically required that you be given a diagnosis. A diagnosis is a technical term that describes the nature of your problem and something about whether it is a short-term or longer-term problem. If a diagnosis is used, your healthcare professional will discuss it with you and explain the nature, typical course and various treatment options for your diagnosis. All diagnoses come from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
PROFESSIONAL RECORDS. The laws and standards of our profession require that we keep Protected Health Information about you in your Clinical Record. We retain the records of individuals seen before their 18th birthday for 7 years after their 18th birthday. Individuals who are seen when they are 18 years old or older are retained for 7 years. Please contact Twin State Psychological Services at (000) 000-0000 if you have any questions about this Record Retention Policy. You may examine and/or receive a copy of your Clinical Record, if you request it in writing. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. For these reasons, we recommend that you initially review them in our presence, or have them forwarded to another mental health professional so you can discuss the contents. (We are sometimes willing to conduct this review meeting without charge.) In most circumstances, we charge a copying fee of $0.25 per page (and for certain other related expenses). Patient Rights HIPAA provides you with several rights with regard to your Clinical Record and disclosures of protected health information. These rights include requesting that we amend your record; requesting restrictions on what information from your Clinical Record is disclosed to others; requesting an accounting of most disclosures of protected health information that you have neither consented to nor authorized; determining the location to which protected information disclosures are sent; having any complaints you make about our policies and procedures recorded in your records; and the right to a paper copy of this Agreement, the attached Notice form, and our privacy policies and procedures. We are happy to discuss any of these rights with you.
PROFESSIONAL RECORDS. The laws and standards of my profession require that I keep Protected Health Information about you in your Clinical record. Except in unusual circumstances that involve danger to yourself, you may examine and/or receive a copy of your Clinical Record if you request it in writing. If I refuse your request for access to your records, you have a right of review, which I will discuss with you upon your request.
PROFESSIONAL RECORDS. The laws and standards of the profession require that Protected Health Information (PHI) is kept about you in your Clinical Record. This PHI includes information about your reasons for seeking services, a description of the ways in which your problem impacts your life, your diagnosis, the goals we set for treatment, your progress toward your goals, your medical and social history, your treatment history, and past treatment records received from providers, reports of any professional consultations, your billing records, and any reports that have been sent to anyone. Your information is kept in a secure electronic health record (EHR 24/7) or in a secure paper chart. You or your legal representative may examine and/or receive a copy of your Clinical Record, if you request it in writing. Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers. For this reason, it is recommended that you initially review them in the presence of your provider or have them forwarded to another mental health professional so you can discuss the contents. In unusual circumstances involving potential danger to you or others or if it is believed that access to your record is reasonably likely to cause substantial harm to you, your request may be denied. If I refuse your request for access to your records, you have a right of review through a private attorney (except for information provided to your provider confidentially by others), which will be discussed with you upon request. In most situations, Bayer NeuroBehavioral Center is allowed to charge a copying fee of $1.00 per page. PATIENT RIGHTS HIPAA provides you with specific rights with regard to your Clinical Record and disclosures of PHI. You have been provided with a copy of that document (Notice of Privacy Practices- pages 5-6) and have discussed those issues. Please remember that you may reopen the conversation with your provider at any time. MINORS & PARENTS Patients under 18 years of age who are not emancipated and their parents should be aware that the law allows parents to examine their child’s treatment records unless your provider believes that doing so would endanger the child or an alternate agreement is made. Because privacy in psychological services is often crucial to successful progress, particularly with teenagers, it is our policy (at times) to request an agreement from parents that they consent to give up their access to their child’s records. If they agree, durin...
PROFESSIONAL RECORDS. The laws and standards of the profession require that this office keep Protected Health Information (PHI) about you in your Clinical Record. Release of records tends to interfere with the therapeutic relationship that our office strives to xxxxxx in counseling adolescents and their families. Our patient’s emotional health and need to know the sessions are confidential outweighs the need for records to be released other than to another mental health professional for further evaluation and treatment. If you provide this office with an appropriate written request, you (or your legal representative) have the right to examine and/or receive a copy of your records. These clinical records can be misinterpreted and/or be upsetting to an untrained reader. For this reason, it is recommended that you initially review these records in your Counselor’s presence, or have them forwarded to another mental health professional so you can discuss the contents. This office may charge an administrative copying fee to cover expenses associated with copying your file, in addition to a per page copy charge and may require a subpoena prior to releasing full records.
PROFESSIONAL RECORDS. We are required to keep appropriate records of the psychological services we provide. Your records are stored in a secure location at the Keys to Living office. These are brief records that include your goals and progress, your diagnosis, topics we discussed, and your billing records. You have the right to review your file with your therapist or obtain a copy. Your therapist may determine that seeing the full content of session notes would not be helpful to you. If that is the case, you will receive a summary of your sessions covering the most pertinent information of your treatment. Initial
