PROFESSIONAL RECORDS Clause Samples
The PROFESSIONAL RECORDS clause establishes the obligation for a party, typically a service provider or contractor, to maintain accurate and complete records related to the services performed under the agreement. This may include keeping logs of work performed, financial documents, correspondence, and other relevant documentation, often for a specified period and in a manner that allows for inspection by the other party or regulatory authorities. The core function of this clause is to ensure transparency and accountability, enabling verification of compliance with contractual obligations and facilitating audits or dispute resolution if necessary.
PROFESSIONAL RECORDS. You should be aware that, according to the rules of HIPAA, I keep Protected Health Information about you in two sets of professional records. One set constitutes your Clinical Record. It includes information about your reasons for seeking therapy, a description of the ways in which your problem impacts on your life, your diagnosis, the goals that we set for treatment, your progress towards those goals, your medical and social history, your treatment history, any past treatment records that I receive from other providers, reports of any professional consultations, your billing records, and any reports that have been sent to anyone, including reports to your insurance carrier. In addition, I also keep a set of Psychotherapy Notes. These Notes are for my own use and are designed to assist me in providing you with the best treatment, While the content of Psychotherapy Notes vary from client to client, they can include notes regarding the contents of our conversations, my analysis of those conversations, and how they impact on your therapy. They also can contain particularly sensitive information that you may reveal to me that is not required to be included in your Clinical Record. These Psychotherapy Notes are kept separate from your Clinical Record. While insurance companies can request and receive a copy of your Clinical Record, they cannot receive a copy of your Psychotherapy Notes without your signed, written Authorization. Insurance companies cannot require your Authorization as a condition of coverage nor penalize you in any way for your refusal. You may examine and/or receive a copy of both sets of records, if you request it in writing. 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 in my presence, or have them forwarded to another mental health professional so you can discuss the contents. In most circumstances, I am allowed to charge a fee for copying records. The exceptions to this policy are contained in the Privacy Notice form. HIPAA provides you with several new or expanded rights with regard to your Clinical Record and disclosures of protected health information. These rights include requesting that I amend your record; requesting restrictions on what information from your Clinical Record is disclosed to others; requesting an accounting of most disclosures of Protected Health Information that you have neither consented to nor aut...
PROFESSIONAL RECORDS. I am required to keep appropriate records of the psychological services that I provide. Your records are maintained in a secure location in the office. I keep brief records noting that you were here, your reasons for seeking therapy, the goals and progress we set for treatment, your diagnosis, topics we discussed, your medical, social, and treatment history, records I receive from other providers, copies of records I send to others, and your billing records. 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 may be misinterpreted and/or upsetting to untrained readers. For this reason, I recommend that you initially review them with me 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 the right to have my decision reviewed by another mental health professional. We can discuss upon your request. You also have the right to request that a copy of your file be made available to other health care providers.
PROFESSIONAL RECORDS. The laws and standards of my profession require that we keep treatment records. You are entitled to receive a copy of your records, or we can prepare a summary for you instead. Because these are professional records, they can be misinterpreted and/or upsetting. If you wish to see your records, we recommend that you review them in our presence.
PROFESSIONAL RECORDS. The laws and standards of our professions require that we keep Protected Health Information about you in your client record. You have the right to examine and/or receive a copy of your Clinical Record, if you request it in writing. Because these are professional records, they can be misinterpreted and may be upsetting to untrained readers. For this reason, we recommend that you initially review them in our presence or have them forwarded to another mental health professional so you can discuss the contents. Clients under 18 years of age who are not emancipated and their parents should be aware that the law allows parents to examine their child’s treatment records unless it is decided that such access is likely to injure the child, or we agree otherwise. Because privacy in psychotherapy is often crucial to successful progress, particularly with adolescents, it is often my policy to request an agreement from parents that they consent to give up their access to their child’s records. If the parents agree, we will provide them only with general information about the progress. We will also provide parents with a summary of their child’s treatment when it is complete. Although we encourage all children to allow parental participation in therapy, any sensitive communication will require the child’s authorization, unless we feel that the child is in danger to himself/herself or to someone else. In this case, we will notify the parents of my concern. Before giving parents any information, we will discuss the matter with the child, if possible, and do our best to handle any objections he/she may have. You will be expected to pay for each session at the time that it is held, unless we agree otherwise. Payment schedules for other professional services will be agreed to when they are requested. We accept payment in the form of cash, check, or credit card. If your account has not been paid for more than 90 days and arrangements for payments have not been agreed upon, we have the option of using a legal means to secure the payment. This may involve hiring a collection agent or going through small claims court which will require us to disclose otherwise confidential information. In most collection situations, the only information we release regarding a client’s treatment is his/her name, the nature of the services provided (i.e. individual psychotherapy hour), and the amount due. If such legal action becomes necessary, the costs will be included in the claim.
PROFESSIONAL RECORDS. The law and professional standards require that your healthcare professional keep treatment records. You are protected under the provision of the Federal Health Insurance Portability and Accountability Act (HIPAA). This law insures the confidentiality of your healthcare records. These records are encrypted and handled with special safeguards to insure confidentiality. If you, or someone acting on your behalf, request these records they will be provided upon written request. Your records may be reviewed, in session, with your healthcare professional. If a third party such as an insurance company is paying for your treatment, it is typically required that you be given a diagnosis. A diagnosis is a technical term that describes the nature of your problem and something about whether it is a short-term or longer-term problem. If a diagnosis is used, your healthcare professional will discuss it with you and explain the nature, typical course and various treatment options for your diagnosis. All diagnoses come from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
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.
PROFESSIONAL RECORDS. The laws and standards of the profession require that this office keep Protected Health Information (PHI) about you in your Clinical Record. Release of records tends to interfere with the therapeutic relationship that our office strives to ▇▇▇▇▇▇ in counseling adolescents and their families. Our patient’s emotional health and need to know the sessions are confidential outweighs the need for records to be released other than to another mental health professional for further evaluation and treatment. If you provide this office with an appropriate written request, you (or your legal representative) have the right to examine and/or receive a copy of your records. These clinical records can be misinterpreted and/or be upsetting to an untrained reader. For this reason, it is recommended that you initially review these records in your Counselor’s presence, or have them forwarded to another mental health professional so you can discuss the contents. This office may charge an administrative copying fee to cover expenses associated with copying your file, in addition to a per page copy charge and may require a subpoena prior to releasing full records.
PROFESSIONAL RECORDS. The laws and standards of the psychology profession require that professional records be kept. These are maintained, under lock and key, for a minimum of seven years. You are entitled to receive a copy of the records unless ▇▇. ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ believes that seeing them would be emotionally damaging, in which case ▇▇. ▇▇▇▇▇▇▇▇ ▇▇▇▇▇▇▇ will send them to a mental health professional of your choice.
PROFESSIONAL RECORDS. We are required to keep appropriate records of the psychological services we provide. Your records are stored in a secure location at the Keys to Living office. These are brief records that include your goals and progress, your diagnosis, topics we discussed, and your billing records. You have the right to review your file with your therapist or obtain a copy. Your therapist may determine that seeing the full content of session notes would not be helpful to you. If that is the case, you will receive a summary of your sessions covering the most pertinent information of your treatment. Initial
PROFESSIONAL RECORDS. Documentation of sessions consists of a summary of each meeting and may include general issues addressed, possible symptom presentation or change, level of functioning, mental status, diagnosis and treatment plans. Texas law requires that we maintain appropriate treatment records for at least 5 years from the last date of service. If the client is a minor child, we must maintain treatment records for 5 years from the date the child turns 18. As a client, you have the right to obtain a copy of your records upon submission of a written authorization. The records of your treatment will contain confidential information about you. Texas law requires that all requests to review or obtain copies of your records must be made in writing. In my practice, I require that clients sign an appropriate authorization before we release any records to them. I also request a copy of valid identification. Records of therapy can be misinterpreted and/or can be upsetting to lay readers. If you request a copy of your records, they will be provided to you within 15 days of receiving the request unless the I believe that to do so would endanger your life or the life of another person. If I believe that I must withhold the records due to a situation involving life endangerment, I will write you a letter to explain the reasons for withholding the records and your options. I have determined that a reasonable, cost-based charge for providing you with a copy of your records will be $50. Generally, I am not required to provide copies of requested records until the fee is paid. If something must be mailed, then you will be responsible for the postage fees which usually include certified postage.