Yeah, no. Don’t let the Case Notes Guys catch you saying that…
Laura Lansrud-Lopez explains….
Jim, here’s what the state says about records (http://220.127.116.11/nmac/parts/title16/16.027.0018.htm):
(1) A licensed or registered individual rendering professional services to an individual client or billed to a third party payor, shall maintain professional records that include:
(a) the presenting problem(s) or purpose or diagnosis,
(b) the fee arrangement,
(c) the date and substance of each billed service,
(d) any test results or other evaluative results obtained and any basis test data from which they were derived,
(e) notation and results of formal consultations with other providers,
(f) a copy of all tests or other evaluative reports prepared as part of the professional relationship.
(2) A licensed or registered individual shall assure that all client professional records are maintained for a period of not less than six years after the last date that professional services was rendered.
(3) A licensed or registered individual shall store and dispose of written, electronic data and other recorded information in such a manner as to ensure their confidentiality.
(4) A licensed or registered individual may not withhold records under their control that are requested for a client’s treatment solely because payment has not been received, except as otherwise provided by law.
This is the very MINIMUM that counselors and art therapists have to maintain. Insurance companies require more, but there is no situation in which a licensed therapist can get away with keeping NO records. To put it bluntly, it’s illegal.