I thought some state laws trump federal laws? In a circumstance where T could use their discretion and not give away the notes, I also read they would have to give the notes to the Ts current therapist. That way, the current therapist would be able to go over the info with the client and support them (if it was hard to read and/or “harmful”). I’m having trouble understanding what is considered “harmful”. In my experience, I’d want to know whether it was hard to read or not.... just like a medical notes, I don’t see reading therapy notes as causing damage, unless the therapist was lying. In that case, that would be a problem with the therapist and not me reading the notes. I was actually thinking about reaching out to my old T for her notes, but I’m not sure if she’s legally obligated to sending me them since she told me she’d never contact me again. Does anyone know if Ts are legally obligated to provide their notes in certain US states? And if so, which ones?