Me myself, I wouldn't worry about it. To me, that was all wrong and I'd tell my T so. A good professional will listen to the patient instead of labeling them and proceeding on with the treatment irregardless of the patient's claim. If this T does that, then she's not worth the ink her degree is signed with and I'd fire her.

I think if the file is in the same clinic, it's universal to all clinicians. Only if it leaves a building/business does one have to sign a release....the way it seems.