Looking for some guidance on releasing medical records to patients. Our Medical Director has requested to put the following statement in our Records Release policy.
"Access to all or part of a record may be denied, upon exercise of professional judgment of the Director of Clinical Services when such access is judged to be reasonably likely to endanger the life or physical safety of the individual or another person. A note will be placed in the client's record as to what cannot be released in the judgment of the Director."I am not in favor of this statement as I feel it will slow down our release process as well as could cause some issues with HIPAA. It is my interpretation of HIPAA regulations that we can deny parts of the record if a clinician determines that releasing the records could cause harm to the patient however this determination needs to happen at the time of service. If you have a statement like this in your current record release policy could you share your rationale with me? If you do not have this statement and release all records to patients can you explain why you release all records? I am open to any other feedback as I am new to the compliance/HIPAA world. Thanks!
We have an entire policy about it, LOL! I attached a sanitized version, along with a form we use to notify the patient.