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Common use of PROFESSIONAL RECORDS Clause in Contracts

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.

Appears in 2 contracts

Samples: Psychotherapist Patient Services Agreement, Psychotherapist Patient Services Agreement

PROFESSIONAL RECORDS. The laws and standards of my profession require that I keep your Protected Health Information about you in your Clinical recordRecords. Except in unusual circumstances that involve danger to yourself, you You may examine and/or receive a copy of your Clinical Record Record, if you request it in writing. Your request can be denied under the following circumstances: (1) that disclosure would physically endanger you or others, (2) that disclosure makes reference to another person (unless such other person is a health care provider) and I believe that access is reasonable likely to cause substantial harm to such other person, or (3) where information has been supplied to me confidentially by others. 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.

Appears in 1 contract

Samples: Client Services Agreement

PROFESSIONAL RECORDS. The laws and standards of my profession require that I keep Protected Health Information about you in your Clinical clinical record. Except in unusual circumstances that involve danger to yourselfcircumstances, you may examine and/or are entitled to receive a copy of your Clinical Record records if you request it in writing. If I refuse your request for access to your writing Because these are professional records, they can be misinterpreted and/or upsetting to untrained readers; therefore, I recommend that you initially review them in my presence, or have a right of review, which I will them forwarded to another mental health professional so you can discuss with you upon your requestthe contents.

Appears in 1 contract

Samples: Psychotherapist Patient Services Agreement

PROFESSIONAL RECORDS. The laws and standards of my profession require that I keep Protected Health Information about you in your Clinical recordRecord. 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.

Appears in 1 contract

Samples: Psychotherapist Patient Services Agreement