Planned Parenthood of Southern New England does not create or
maintain psychotherapy notes.
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Maintain psychotherapy notes, treatment plans and case records consistent with ethical and legal standards of care.
Not exact matches
The Privacy Rule requires covered entities to provide individuals with access to their medical records; however, the Privacy Rule exempts
psychotherapy notes from this requirement if they are separately
maintained by the covered entity.
Psychotherapy notes, which are the personal
notes of a mental health care provider documenting or analyzing the contents of a counseling session, that are
maintained separate from the rest of the patient's medical record.
Furthermore, we stated in the preamble of the proposed rule that
psychotherapy notes would have to be
maintained separately from the medical record.
As we have defined them,
psychotherapy notes are primarily of use to the mental health professional who wrote them,
maintained separately from the medical record, and not involved in the documentation necessary to carry out treatment, payment, or health care operations.
They are
psychotherapy notes, information compiled in reasonable anticipation of, or for use in, a civil, criminal, or administrative action or proceeding, and certain protected health information
maintained by a covered entity that is subject to or exempted from the Clinical Laboratory Improvements Amendments of 1988 (CLIA).
We based this decision on conversations with mental health providers who have told us that information that is critical to the treatment of individuals is normally
maintained in the medical record and that
psychotherapy notes are used by the provider who created them and rarely for other purposes.
Comment: Many providers expressed concern that if
psychotherapy notes were
maintained separately from other protected health information, other health providers involved in the individual's care would be unable to treat the patient properly.
The Privacy Rule requires covered entities to provide individuals with access to their medical records; however, the Privacy Rule exempts
psychotherapy notes from this requirement if they are separately
maintained by the covered entity.
Psychotherapy notes, which are the personal
notes of a mental health care provider documenting or analyzing the contents of a counseling session, that are
maintained separate from the rest of the patient's medical record.