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SELECTED VIRGINIA LAWS
AFFECTING PATIENT CONFIDENTIALITY

I. Confidentiality Protections:
 A. Prohibiting Disclosure of Information Without Patient's Consent:
  

Statutory Law: Patient Health Records Privacy Statute . . § 32.1-127.1:03
Statutory Law: Unauthorized Computer Access is Illegal . . .§ 18.2-152.5
Regulatory Law: (See Licensing Board Standards; State Agency Regs)
Case Law: Virginia Supreme Court in Fairfax Hospital v. Patricia Curtis

 B. Therapist-Patient Privilege (Protections in Civil Court Proceedings Only):
  Board of Medicine Licensees and Clinical Psychologists.§ 8.01-399
Other Mental Health Professionals...§ 8.01-400.2
Judges Can Protect Health Records In Court Case.. § 32.1-127.1:03, (H-6)
Confidentiality Protections in Court-Ordered Parent Education... § 20-103
 C. Minors' Access to Outpatient Tx Without Parental Consent ... § 54.1-2969
    

II. Confidentiality Limitations (Potential Disclosure w/o Pt. Consent):

  A. Laws Requiring Provider To Disclose Information Without Patient Consent:
  Duty to Protect Third Parties...§ 54.1-2400.1
  Reports Mandated by Statute or Regulation :
   Abuse/Neglect of Aged or Incapacitated Adult...§ 63.2-1606
Abuse/Neglect of Child... § 63.2-1509 (defined in .§ 63.2-100)
Practitioners in Therapy, if Public at Risk. ..§ 54.1-2400.7
Practitioner Misconduct:
---
Board of Medicine Licensees...§ 54.1-2909 ; § 54.1-2915
---Other Licensed or Certified Practitioners (See Board Reports)
State Colleges Notify Parents of Depndnt Students at Risk...§ 23-9.2:3
  Records/Information Legally Available to Others Without Patient Consent:
   

CASA Lay Volunteers...§ 9.1-156
CSB Evaluators for Involuntary Commitment of Minor...§ 16.1-342
CSB or Indep. Evaluator for Involuntary Commitment ..§ 37.2-804.2
DSS Investigation Following Report of Abuse/Neglect . .§ 63.2-1509
Licensing Board Investigations; Subpoena ..54.1-2506
Parent Has Access to Treatment Records of Minor Child...§ 20-124.6
Magistrates, etc. for Commitment Hearing...§ 16.1-337 ; § 37.2-804.2

  B. Exceptions to Therapist-Patient Privilege (Potential Subpoenas)
  Civil Proceedings: Exceptions to Privilege: § 8.01-399, § 8.01-400.2
   Child Abuse/Neglect Cases...§ 63.2.1519; § 8.01-400.2
    Mental Condition at Issue in Court Case...§ 8.01-399; § 8.01-400.2
    "Judicial Discretion" Exception to Privilege..8.01-399; § 8.01-400.2
    Guardian Ad Litem Access to Info in Court Case.§16.1-266 (G)
   Subpoenaed Records Delivered to Clerk of Court...§ 32.1-127.1:03
  Criminal Proceedings (No statutory therapist-patient privilege)
  Licensing Board Subpoena of Records for Investigation.(e.g., § 54.1-2506)
  C. Laws Allowing Others to Re-Disclose Information Without Patient Consent
  Testimony by CASA Volunteer Who Obtained Tx Info/Records...§ 9.1-153
   Testimony by Evaluator in Involuntary Commitment .16.1-342 ; 37.2-804.2

NOTE: To be able to promise absolute confidentiality,
a clinician would need to be prepared
to disobey all of the laws in II-A and II-B, above,
and be prepared to accept the
legal and financial consequences of that civil disobedience.

_____________________________

*This information is not a substitute for knowing all the Regulations or Statutes
related to the practice of your profession.

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