Yes it will be a part of your medical record BUT just anybody CANNOT get into your medical records. There is a federal law called HIPPA Privacy Law.(by the way this is not the same as HIPAA they are two different laws) You can contact the Civil Rights Department for more information about HIPPA but what it boils down to is that your treatment professionals CANNOT disclose to ANYONE with out your signed and updated every 6 months release of information form. One of my DHS caseworkers violated this law and was fired and can no longer work as a caseworker for any DHS angency in the USA now because of her violation of that law. and the DHS agency in my area must now promentently display the HIPPA law and complaint proceedures including phone numbers and addresses of the civil rights department overseeing the protection and prosecution of this law in their public access areas.
Anyway Therapists have a specific form they must fill out for insurance. it does not go into detail about "this session we talked about ...."
It is basic - name address phone number insurance ID number of the client (so your insurance company knows which insurance clients file the paperwork goes into)
Then like mine would say
diagnosis - PTSD, Dissociative Identity Disorder, Depression/anxiety
treatment plans - working on nightmares, flashbacks and intrusive thoughts and other memory problems, depression/anxiety.
Just basic and just enough that will tell the insurance where their money is going so the insurance company will continue to pay for my therapy sessions.
My DHS caseworker cannot even get into my files at my therapy agency without going to court. And then if my file is court mandated my therapy agency has a form that they fill out after ever session with just the basics - name, diagnosis and "today we worked on depression management skills". Or "Today we did a relaxation visualization for PTSD" Nothing that can do harm to me in court is ever entered into my files.
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