PROFESSIONAL RECORDS. The laws and standards of my profession require that I keep treatment records for a minimum of seven years. I typically keep brief, basic records, including the date and times of our sessions; your reasons for seeking therapy; your medical, social, developmental, and treatment history; the goals we set for treatment and your progress; your diagnosis; the type of service provided; and general information about the content of our sessions. I also keep records I receive from other providers, copies of records I send to others and your billing records. The records are kept in a secure location in the office (e.g., on an encrypted, password-protected computer hard drive, on third party record keeping software that fully encrypts and password protects all information and is compliant with HIPPA laws, and/or in a locked file cabinet). These records are considered confidential by law and ethics. 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 can be misinterpreted and/or upsetting to untrained readers. For this reason, I recommend that you initially review them with me so that we can discuss their contents, 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. Clients will be charged an appropriate fee for any time spent in preparing information requests.
Appears in 1 contract
Samples: Informed Consent Agreement
PROFESSIONAL RECORDS. The laws and standards of my profession require that Pursuant to HIPAA, I keep treatment records for a minimum protected health information (PHI) about you in two sets of seven yearsprofessional records. I typically keep brief, basic records, including the date and times of our sessions; One set constitutes your Clinical Record. It includes information about your reasons for seeking therapy; , a description of the ways in which your medicalproblem impacts on your life, socialyour diagnosis, developmental, and treatment history; the goals that we set for treatment, your progress towards those goals, your medical and social history, your treatment and your progress; your diagnosis; the type of service provided; and general information about the content of our sessions. I also keep history, any past treatment records that I receive from other providers, copies reports of records I send to others and any professional consultations, your billing records. The records are kept in a secure location in the office (e.g., on an encryptedand any reports that have been sent to anyone, password-protected computer hard drive, on third party record keeping software that fully encrypts and password protects all information and is compliant with HIPPA laws, and/or in a locked file cabinet). These records are considered confidential by law and ethicsincluding reports to your insurance carrier. Except in the unusual circumstances circumstance where disclosure is reasonably likely to endanger you and/or others or when another individual (other than another health care provider) is referenced and I believe disclosing that involve danger to yourselfinformation puts the other person at risk of substantial harm, you have the right to may examine and/or receive a copy of your fileClinical Record, if it is requested it in writing. Because these are professional records, they records and can be misinterpreted and/or upsetting to untrained readers, my preference is that you not review them alone. For this reasonIf you wish to review them, I recommend that you initially review them with me do so in my presence so that we I can discuss their contentsanswer your questions with sensitivity and non-professional jargon, or have them forwarded to another mental health professional for the same reason. A prorated fee, based on my customary hourly rate, will be charged for preparation of materials. Where I need to discuss duplicate the contentsrecord, I am allowed to charge a copying fee of 35 cents per page (and for certain other expenses). If I refuse your request for access to your recordsClinical Records, you have a right to have my decision reviewed by another mental health professional, of review which I will discuss with you upon your request. You also have is detailed in the right to request that a copy of your file be made available to any other health care provider at your written request. Clients will be charged an appropriate fee for any time spent in preparing information requestsMissouri Notice Form.
Appears in 1 contract
Samples: Psychotherapist Patient Agreement
PROFESSIONAL RECORDS. The laws and standards I am required to keep appropriate records of my profession require the psychological services that I keep treatment records for a minimum of seven yearsprovide. I typically keep briefbrief records noting that you were here, basic records, including the date and times of our sessions; your reasons for seeking therapy; , the goals and progress we set for treatment, your diagnosis, topics we discussed, your medical, social, developmental, and treatment history; the goals we set for treatment and your progress; your diagnosis; the type of service provided; and general information about the content of our sessions. I also keep , records I receive from other providers, copies of records I send to others others, and your billing records. The records I maintain a “paperless” office. Your files are kept stored in a HIPPA-approved, secure location in the office (e.g., on an encrypted, password-protected computer hard drive, on third party record keeping software that fully encrypts and password protects all protected cloud-based software. All hard copy records will either be filed in accordance with HIPPAA guidelines or scanned into the database and shredded. Information contained in email and text messages is typically not secure. Please be aware that this information can be intercepted. Your use of email or text to communicate information to communicate information indicates that you acknowledge and is compliant accept the possible risks associated with HIPPA laws, and/or in a locked file cabinet). These records are considered confidential by law and ethicssuch communication. 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 can may be misinterpreted and/or and / or upsetting to untrained readers. For this reason, I recommend that you initially review them with me so that we can discuss their contentsme, 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 professionalprofessional , 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. Clients will be charged an appropriate fee for any time spent in preparing information requests.
Appears in 1 contract
PROFESSIONAL RECORDS. The laws and standards of my profession require that I keep treatment records for a minimum of seven years. I typically keep brief, basic records, including the date and times of our sessions; Protected Health Information about you in your reasons for seeking therapy; your medical, social, developmental, and treatment history; the goals we set for treatment and your progress; your diagnosis; the type of service provided; and general information about the content of our sessions. I also keep records I receive from other providers, copies of records I send to others and your billing records. The records are kept in a secure location in the office (e.g., on an encrypted, password-protected computer hard drive, on third party record keeping software that fully encrypts and password protects all information and is compliant with HIPPA laws, and/or in a locked file cabinet). These records are considered confidential by law and ethicsClinical Record. Except in unusual circumstances that involve danger disclosure is reasonably likely to yourselfendanger the life or physical safety of you or another person, you have the right to may examine and/or receive a copy of your fileClinical Record, if you request it in writing. In those situations, you have a right to a summary and to have your record sent to another mental health provider. 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 with me so that we can discuss their contentsin my presence, or have them forwarded to another mental health professional to so you can discuss the contents. In most circumstances, I am allowed to charge a copying fee of $0.50 per page (and certain other expenses). If I refuse your request for access to your records, you have a right to have my decision reviewed by another mental health professionalof review, which I will discuss with you upon your request. You also HIPAA provides you with several new or expanded rights with regard to your Clinical Records and disclosures of protected health information. These rights include requesting that I amend your record; requesting restrictions on what information from your Clinical Records 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 my policies and procedures recorded in your records; and the right to request that a paper copy of your file be made available this Agreement, the attached Notice form, and my privacy policies and procedures. I am happy to discuss any other health care provider at your written request. Clients will be charged an appropriate fee for any time spent in preparing information requests.of these rights with you.
Appears in 1 contract