Use and Disclosure of Psychotherapy Notes The information in this policy applies to all of Dr. Marshall’s staff and other contractors granted access to protected health information. You are referred to as and I am or “client” “provider” “psychotherapist”. Psychotherapy Notes: Summary of information such as current state of the client, diagnoses, problems, symptoms, themes of psychotherapy sessions, and other information needed for treatment or payment shall be placed in the client’s designated record. Psychotherapy notes are kept separate from the rest of the client’s designated record. Psychotherapy notes are defined as documentation that captures the provider’s impressions about the client, couple, or family containing details or the conversation to be inappropriate for the designated record and are used by the psychotherapist for future sessions. The provider who is documenting or analyzing the contents of the conversation during a private psychotherapy session or a group, joint, or family session can record the psychotherapy notes in any medium. Release/Authorization of Psychotherapy Notes: Dr. Marshall may not release psychotherapy notes, except in specific situations or if required by law. The client has the right to inspect or obtain a copy of the psychotherapy notes. The client may not request a review of Dr. Marshall’s denial of access to psychotherapy notes; however, the client may be provided access to a summary of treatment/psychotherapy. The authorization for psychotherapy notes may not be combined with an authorization for any other protected health information. Authorization for the disclosure of psychotherapy notes is not required in the following circumstances: For use of the provider for treatment For use in supervision or training for supervisees to learn to practice psychotherapy and counseling To defend a legal action brought by the client For the purposes of the Department of Health and Human Services in determining compliance with the privacy rule (HIPAA-Health Insurance Portability and Accounting Act) As otherwise required by law By an oversight agency for the lawful purpose related to oversight of the psychotherapist To law enforcement in instances of permissible disclosure related to a serious or imminent threat to the health and safety of a person or the public To a coroner or medical examiner for the purposes of identifying a deceased person, determining a cause of death, or other duties authorized by law Receipt and Acknowledgement of Notice of Privacy Practices I acknowledge that I have received and have been given an opportunity to read Marshall Psychological Services, LLC’s Notice of Privacy Practices. I understand that if I have any questions regarding this notice of my privacy
Use and Disclosure of Psychotherapy Notes The information in this policy applies to all of Dr. Marshall’s staff and other contractors granted access to protected health information. You are referred to as “client” and I am “provider” or “psychotherapist”. Psychotherapy Notes: Summary of information such as current state of the client, diagnoses, problems, symptoms, themes of psychotherapy sessions, and other information needed for treatment or payment shall be placed in the client’s designated record. Psychotherapy notes are kept separate from the rest of the client’s designated record. Psychotherapy notes are defined as documentation that captures the provider’s impressions about the client, couple, or family containing details or the conversation to be inappropriate for the designated record and are used by the psychotherapist for future sessions. The provider who is documenting or analyzing the contents of the conversation during a private psychotherapy session or a group, joint, or family session can record the psychotherapy notes in any medium. Release/Authorization of Psychotherapy Notes: Dr. Marshall may not release psychotherapy notes, except in specific situations or if required by law. The client has the right to inspect or obtain a copy of the psychotherapy notes. The client may not request a review of Dr. Marshall’s denial of access to psychotherapy notes; however, the client may be provided access to a summary of treatment/psychotherapy. The authorization for psychotherapy notes may not be combined with an authorization for any other protected health information. Authorization for the disclosure of psychotherapy notes is not required in the following circumstances: For use of the provider for treatment For use in supervision or training for supervisees to learn to practice psychotherapy and counseling To defend a legal action brought by the client For the purposes of the Department of Health and Human Services in determining compliance with the privacy rule (HIPAA-Health Insurance Portability and Accounting Act) As otherwise required by law By an oversight agency for the lawful purpose related to oversight of the psychotherapist To law enforcement in instances of permissible disclosure related to a serious or imminent threat to the health and safety of a person or the public To a coroner or medical examiner for the purposes of identifying a deceased person, determining a cause of death, or other duties authorized by law Receipt and Acknowledgement of Notice of Privacy Practices I acknowledge that I have received and have been given an opportunity to read Marshall Psychological Services, LLC’s Notice of Privacy Practices. I understand that if I have any questions regarding this notice of my privacy