This form is for use and/or disclosure of the specific personally identifiable health information identified in form, specifically Psychotherapy Notes, pursuant to the requirements of 45 C.F.R. Sect 164.508, which sets out the federal privacy regulations for the Health Insurance Portability and Accountability Act of 1996 and authorizes the Covered Entity identified in the form to release the personally identifiable health information specifically referenced in th form.
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Under HIPAA, disclosure of psychotherapy notes requires more than just generalized consent; it requires patient authorization--or specific permission--to release this sensitive information.
Unlike progress notes, psychotherapy notes are private and are do not include: Medication details or records. Test results. Summary of diagnosis or treatment plan.
Unlike other medical records, therapy notes are subject to special protections, which means you can request them, but that doesn't mean your therapist has any obligation to let you see them.
Psychotherapy notes are primarily for personal use by the treating professional and generally are not disclosed for other purposes. Thus, the Privacy Rule includes an exception to an individual's (or personal representative's) right of access for psychotherapy notes.
Psychotherapy notes excludes medication prescription and monitoring, counseling session start and stop times, the modalities and frequencies of treatment furnished, results of clinical tests, and any summary of the following items: diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to
Unlike other medical records, therapy notes are subject to special protections, which means you can request them, but that doesn't mean your therapist has any obligation to let you see them.
HIPAA requires that the subpoena and/or court order specifically state that the request is for psychotherapy notes, and requires that the patient complete a separate authorization form. For further information: General information on HIPAA and Psychotherapy Notes.
1 The psychotherapy notes receive special protection because of their sensitive nature and because they are personal notes of the provider that are generally not required for treatment, payment, or health care operations.
