Psychotherapy notes are defined very specifically in the regulations including that the records "are separated from the rest of the individual's medical record." 
 
Does the definition imply that a mental health provider who does not keep the records separate -- not have HIPAA psychotherapy notes? If so, can the provider release the records under a general HIPAA authorization and not be required to obtain a separate authorization for release of what may be classified as "psychotherapy notes" had such records been kept separate and apart from the other medical records.
 
Basically was the definition designed to allow two ways to handle such records. It is my understanding from discussion with some mental health care providers that they like to keep some records separate and from others that they put all the records into the full medical record.
 
Thoughts. bob coffield
 

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Robert L. Coffield
Flaherty, Sensabaugh & Bonasso, PLLC
200 Capitol Street (P.O. Box 3843)
Charleston, WV 25338-3843
(304) 347-3791 Fax: (304) 345-0260
Work Email: [EMAIL PROTECTED] 

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