Lynn Boatwright, PhD Clinical Psychologist
|
Lynn K. Boatwright, PhDClinical Psychologist, HSP, retired Formerly at: 901 Mountain Creek Road, Suite 200 Chattanooga, Tennessee 37405 My practice closed on April 30, 2021.I am no longer available for clinical consultation. The main purpose of this website is to make former patient records available when they are needed, for example, if you see a new mental health provider or apply for Social Security Disability benefits. While my postal mail will be forwarded for a period of time, contacting me through the email address below is the most reliable way to do so. After your first email to me, I will respond through a secure (encrypted) email (Hushmail) address that will require you to set up a passphrase to access your messages. Messages sent from me on Hushmail will expire after two weeks, so you will need to print them out or save them in another way if you will need them for longer than that. If it has been a while since you have been seen or your address has changed since we last met, I may ask for a copy of your driver’s license to verify your identity. When you need your records, you may contact me at: boatwrightphd@therapysecure.com Your Right to Your RecordsYour rights to access and direct the use of your clinical record are detailed in the Notice of Privacy Practices under HIPAA. How to Get Your RecordsIn order for me to release your private information, you will need to send a confidential message to the email address above. After we have communicated about the records you need, I will send you the Authorization to Release Confidential Records and Information form to complete. Please read the following information carefully.
| |
❖ | Instructions for completing the Authorization to Release Confidential Records and Information form. Section AComplete the Identifying Information, including a phone number and email address where you may be reached to make arrangements for the transfer of records. Section B
Section CIndicate the information you want to be released. If you want all information released, you may just check the first box. You may use the "Other instructions" line to specify additional information you want included or information that you do not want released. Section DYou may indicate the purpose for transferring the records. Sections E-IYour signature on this form indicates your understanding and agreement. Section JIf records are being requested by a parent/guardian/representative, please attach documents verifying your right to access these records. |
Costs for preparing and sending records
Payment may be made by cash, check, or money order. There is no access to credit card processing. |
© 2024 Lynn K Boatwright, PhD