Maintenance, Confidentiality, and Release of Clinical Records; Disclosure of Confidential or Privileged Patient Information

  1. Law
  2. Georgia Code
  3. Mental Health
  4. Hospitalization and Treatment of Alcoholics, Drug Dependent Individuals, and Drug Abusers
  5. Rights and Privileges of Patients, Their Representatives, and Others Generally
  6. Rights and Privileges as to Manner of Care and Treatment and as to Maintenance and Release of Clinical Records
  7. Maintenance, Confidentiality, and Release of Clinical Records; Disclosure of Confidential or Privileged Patient Information

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  1. A clinical record for each patient shall be maintained. Authorized release of the record shall include but not be limited to examination of the original record, copies of all or any portion of the record, or disclosure of information from the record, except for matters privileged under the laws of this state.Such examination shall be conducted on hospital premises as determined by the facility. The clinical record shall not be a public record and no part of it shall be released except:
    1. A copy of the record may be released to any person or entity designated in writing by the patient or, if appropriate, the parent of a minor, the legal guardian of an adult or minor, or a person to whom legal custody of a minor patient has been given by order of a court;

      (1.1) A copy of the record of a deceased patient or deceased former patient may be released to or in response to a valid subpoena of a coroner or medical examiner under Chapter 16 of Title 45, except for matters privileged under the laws of this state;

    2. When a patient is admitted to a facility, a copy of the record or information contained in the record from another facility, community mental health center, or private practitioner may be released to the admitting facility. When the treatment plan of a patient involves transfer of that patient to another facility, community mental health center, or private practitioner, a copy of the record or information contained in the record may be released to that facility, community mental health center, or private practitioner;
    3. A copy of the record or any part thereof may be disclosed to any employee or staff member of the facility when it is necessary for the proper treatment of the patient;
    4. A copy of the record shall be released to the patient's attorney if the attorney so requests and the patient, or the patient's legal guardian, consents to the release;
    5. In a bona fide medical emergency, as determined by a physician treating the patient, the chief medical officer may release a copy of the record to the treating physician or to the patient's psychologist;
    6. At the request of the patient, the patient's legal guardian, or the patient's attorney, the record shall be produced by the entity having custody thereof at any hearing held under this chapter;
    7. Except for matters privileged under the laws of this state, the record shall be produced in response to a court order issued by a court of competent jurisdiction pursuant to a full and fair show cause hearing;
    8. A copy of the patient's clinical record may be released under the conditions and for the uses and purposes set forth in Code Section 31-7-6;
    9. A copy of the record may be released to the legal representative of a deceased patient's estate, except for matters privileged under the laws of this state; and
    10. Notwithstanding any other provision of law to the contrary, a law enforcement officer in the course of investigating the commission of a crime on the premises of a facility covered by this chapter or against facility personnel or a threat to commit such a crime may be informed as to the circumstances of the incident, including whether the individual allegedly committing or threatening to commit a crime is or has been a patient in the facility, and the name, address, and last known whereabouts of any alleged patient perpetrator.
  2. In connection with any hearing held under this chapter, any physician, including any psychiatrist, or any psychologist who is treating or who has treated the patient shall be authorized to give evidence as to any matter concerning the patient, including evidence as to communications otherwise privileged under Code Section 24-5-501, 24-12-1, or 43-39-16.
  3. Any disclosure authorized by this Code section or any unauthorized disclosure of confidential or privileged patient information or communications shall not in any way abridge or destroy the confidential or privileged character thereof, except for the purpose for which such authorized disclosure is made. Any person making a disclosure authorized by this Code section shall not be liable to the patient or any other person, notwithstanding any contrary provision of Code Section 24-5-501, 24-12-1, or 43-39-16.

(Code 1933, § 88-402.12, enacted by Ga. L. 1978, p. 1856, § 1; Ga. L. 1979, p. 744, §§ 4, 5; Ga. L. 1984, p. 594, § 1; Ga. L. 1985, p. 996, § 1; Ga. L. 1991, p. 1059, §§ 40, 41; Ga. L. 1994, p. 1072, § 6; Ga. L. 1995, p. 10, § 37; Ga. L. 2011, p. 99, § 55/HB 24.)

The 2011 amendment, effective January 1, 2013, substituted "Code Section 24-5-501, 24-12-1," for "Code Section 24-9-21, 24-9-40," near the end of subsections (b) and (c). See editor's note for applicability.

Code Commission notes.

- Pursuant to Code Section 28-9-5, in 1991, the amendment by Ga. L. 1991, p. 1059, § 40, has been treated as an amendment to paragraph (5), not paragraph (6), since this was the apparent intent.

Editor's notes.

- Ga. L. 2011, p. 99, § 101/HB 24, not codified by the General Assembly, provides that this Act shall apply to any motion made or hearing or trial commenced on or after January 1, 2013.

Law reviews.

- For article, "Evidence," see 27 Ga. St. U.L. Rev. 1 (2011). For article on the 2011 amendment of this Code section, see 28 Ga. St. U.L. Rev. 1 (2011).

JUDICIAL DECISIONS

Protected communications.

- Georgia law has an exceedingly strict view as to what are privileged communications; not only "communications" but "admissions" are privileged; what is protected is not merely words, but "disclosures made in confidence." Mrozinski v. Pogue, 205 Ga. App. 731, 423 S.E.2d 405, cert. denied, 205 Ga. App. 901, 423 S.E.2d 405 (1992).

Parent's standing to sue for unauthorized disclosure of child's records.

- Father had standing to file suit for unauthorized disclosure of his minor daughter's clinical records and for unauthorized release of privileged material regarding his minor daughter. Mrozinski v. Pogue, 205 Ga. App. 731, 423 S.E.2d 405, cert. denied, 205 Ga. App. 901, 423 S.E.2d 405 (1992).

In an action arising from the unauthorized release of plaintiff's psychiatric records by a hospital authority, under the facts of the case, and because of the strong public policy of maintaining strict compliance with the requirements governing release of psychiatric records, the trial court erred in granting summary judgment to defendants. Sletto v. Hospital Auth., 239 Ga. App. 203, 521 S.E.2d 199 (1999).

RESEARCH REFERENCES

ALR.

- Testamentary capacity as affected by use of intoxicating liquor or drugs, 9 A.L.R.3d 15.


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