My hospital keeps psych notes invisible to other providers. They have access to my med list and allergies and that's it. Even my IP pdocs can't access my pdoc's (in the same hospital system) notes or treatment plan although my pdoc can access my IP records (I don't know in what detail but it seems pretty much all of it).

I like it that way. Because I'm on an MAOI which affects what drugs can be given during surgeries (and I've had several surgeries in the last several years) my pdoc communicates with the surgeons to be sure I'll be safe. Some of the surgeons have been so clueless I'd never want them in my psych notes.