Psychologists and records

topic posted Sun, March 16, 2008 - 6:14 PM by  Evergrey
Are psychologists required to keep records of their patients and the appointments they keep? Are they required to take notes?
Let's say the SSDI determination office wants records of 3 years of care from a psychologist, and said psychologist can't really kept notes or records. What then? And is it legal for a psychologist to demand payment from their client for producing records for the SSDI determination office? Is it legal for a psychologist to refuse to fill out the forms the SSDI determination office sends them?

Thanks
posted by:
Evergrey
SF Bay Area
  • Re: Psychologists and records

    Sun, March 16, 2008 - 7:02 PM
    I'd be leary of a psychologist that didn't keep basic records - heck, other doctors, mechanics, computer techs who service your stuff at work... they ALL keep records - if they're worth a crap anyway. Have you tried going to the FAQ page on the SSDI site? I wouldn't think a charge would be involved short of maybe a copying fee if you were collecting stuff from them to take to the SSDI appointment yourself... I've gone through SSDI for a minor and never had to deal with a provider refusing to fill out SSDI forms. I don't know how assertively SSDI would pursue someone refusing to fill out forms for a current/previous patient.... have you talked with your case or social worker yet?

    best of luck to you...
    • Re: Psychologists and records

      Sun, March 16, 2008 - 7:20 PM
      I don't have a social worker or case worker. :( All I have is my disability evaluation analyst. He does seem to want to help though and he called her himself asking for records. He also sent her the form to fill out.
      I've just read up on the APA's ethical record keeping guidelines, and I will be demanding to see my records when I go in tomorrow. I will see how these records measure up to the guidelines. So far I haven't found any specific, hard laws about record content for private psychologist practices, so I am not sure what I'll do.

      If she doesn't produce evidence in her records that my condition has not improved (it hasn't, and she has said as much) then I will not get SSDI, which I need, honest to gods NEED. So I don't know what I'll do if I don't get the records I need int he detail level I need. :(
      • Re: Psychologists and records

        Mon, March 24, 2008 - 12:29 AM
        Your doctor really is obligated to produce the proper documentation to support your case and, though it may be a bit late for detailed records in retrospect, I highly recommend finding yourself a new doctor if this one isn't helping you properly now.

        In my experience Social Security will send you to their own doctor for evaluation also, though, and you'll probably end up needing an attorney in order to have your benefits granted. This seems to be business as usual for them.

        Good luck with everything!

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