Thanks for clearing that up. Sadly, I cannot comment on the Canadian HealthCare system. I think I can safely say that in the US and with confidentiality laws, things like that should not happen. As a Family Practitioner I never see any notes from a mental health provider other than, " Thank you for referring Dr. Freud. I appreciate your confidence in my ability to manage your patients. " That's it . If we need specifics the patient can sign a Release of Records but we usually do not do that unless some emergency occurs.