As a client, you have the right to see your file, unless it would endanger your health or another person’s health or safety. Psychotherapy notes, which are differentiated from the above recorded session information, are afforded special privacy protection under HIPAA regulations and are excluded from this right.
As a client, you may obtain a copy of your treatment, or a summary of your treatment. There is a standard administrative fee for copies. A fee for a treatment summary may apply.
As a client, you have the right to request amendments to your counseling/therapy file.
As a client, you have the right to receive a history of all disclosures of protected health information. You will be required to pay any printing and copying fees @ $.20/page.
As a client, you have the right to restrict the use and disclosure of your protected health information for the purpose of treatment, payment, and operations. If you choose to release any protected health information, you will be required to sign a Release of Information form detailing exactly to whom and what information you wish disclosed.
You may cancel prior authorizations by giving me a written revocation. This revocation does not cover prior releases or actions I have taken prior to its receipt. If a release of information was given for insurance purposes it may not be able to be revoked.