Connecticut Authorization for Disclosure of Psychotherapy Notes to Law Firm

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US-AG06
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Description

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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FAQ

A patient does not have the right to inspect or obtain a copy of his or her "psychotherapy notes." HIPAA defines "psychotherapy notes" as "notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling ...

These notes are often referred to as ?process notes,? distinguishable from ?progress notes,? "the medical record," or ?official records.? These process notes capture the therapist's impressions about the patient, contain details of the psychotherapy conversation considered to be inappropriate for the medical record, ...

These pieces of information are considered mental health records, and thus part of the patient's general medical record.

Under HIPAA, psychotherapy notes are defined as notes that document or analyze the contents of a therapy session and are separated from the rest of the medical record.

A patient does not have the right to inspect or obtain a copy of his or her "psychotherapy notes." HIPAA defines "psychotherapy notes" as "notes recorded (in any medium) by a health care provider who is a mental health professional documenting or analyzing the contents of conversation during a private counseling ...

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. See 45 CFR 164.524(a)(1)(i).

Any summary of diagnosis, functional status, the treatment plan, symptoms, prognosis, and progress to date.

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Connecticut Authorization for Disclosure of Psychotherapy Notes to Law Firm