1. A clinical record for each consumer must be diligently maintained by any division facility, private institution, facility offering mental health services or person professionally qualified in the field of psychiatric mental health responsible for providing assisted outpatient treatment. The record must include information pertaining to the consumer’s admission, legal status, treatment and individualized plan for habilitation. The clinical record is not a public record and no part of it may be released, except as otherwise provided in subsection 2 or except:
(a) If the release is authorized or required pursuant to NRS 439.538.
(b) The record must be released to physicians, advanced practice registered nurses, attorneys and social agencies as specifically authorized in writing by the consumer, the consumer’s parent, guardian or attorney.
(c) The record must be released to persons authorized by the order of a court of competent jurisdiction.
(d) The record or any part thereof may be disclosed to a qualified member of the staff of a division facility, an employee of the Division or a member of the staff of an agency in Nevada which has been established pursuant to the Developmental Disabilities Assistance and Bill of Rights Act of 2000, 42 U.S.C. §§ 15001 et seq., or the Protection and Advocacy for Mentally Ill Individuals Act of 1986, 42 U.S.C. §§ 10801 et seq., when the Administrator deems it necessary for the proper care of the consumer.
(e) Information from the clinical records may be used for statistical and evaluative purposes if the information is abstracted in such a way as to protect the identity of individual consumers.
(f) To the extent necessary for a consumer to make a claim, or for a claim to be made on behalf of a consumer for aid, insurance or medical assistance to which the consumer may be entitled, information from the records may be released with the written authorization of the consumer or the consumer’s guardian.
(g) The record must be released without charge to any member of the staff of an agency in Nevada which has been established pursuant to 42 U.S.C. §§ 15001 et seq. or 42 U.S.C. §§ 10801 et seq. if:
(1) The consumer is a consumer of that office and the consumer or the consumer’s legal representative or guardian authorizes the release of the record; or
(2) A complaint regarding a consumer was received by the office or there is probable cause to believe that the consumer has been abused or neglected and the consumer:
(I) Is unable to authorize the release of the record because of the consumer’s mental or physical condition; and
(II) Does not have a guardian or other legal representative or is a ward of the State.
(h) The record must be released as provided in NRS 433.332 or 433B.200 and in chapter 629 of NRS.
2. A division facility, private institution, facility offering mental health services or person professionally qualified in the field of psychiatric mental health responsible for providing assisted outpatient treatment and any other person or entity having information concerning a consumer, including, without limitation, a clinical record, any part thereof or any information contained therein, may disclose such information to a provider of health care to assist with treatment provided to the consumer.
3. As used in this section, "provider of health care" has the meaning ascribed to it in NRS 629.031.
(Added to NRS by 1975, 1611; A 1987, 746, 1197; 1989, 2056; 1991, 2351; 1993, 2722; 2003, 1945; 2007, 1981; 2011, 428; 2013, 3494; 2017, 1752; 2019, 362; 2021, 3093)
Structure Nevada Revised Statutes
NRS 433A.010 - Applicability of chapter.
NRS 433A.012 - "Administrative officer" defined.
NRS 433A.013 - "Administrator" defined.
NRS 433A.0135 - "Assisted outpatient treatment" defined.
NRS 433A.0145 - "Consumer" defined.
NRS 433A.015 - "Division" defined.
NRS 433A.016 - "Division facility" defined.
NRS 433A.0163 - "Emergency admission" defined.
NRS 433A.0167 - "Involuntary court-ordered admission" defined.
NRS 433A.017 - "Medical director" defined.
NRS 433A.0172 - "Mental health crisis hold" defined.
NRS 433A.0175 - "Person in a mental health crisis" defined.
NRS 433A.018 - "Person professionally qualified in the field of psychiatric mental health" defined.
NRS 433A.019 - "Program of community-based or outpatient services" defined.
NRS 433A.0192 - "Supporter" defined.
NRS 433A.0194 - "Voluntary admission" defined.
NRS 433A.020 - Administrative officer: Qualifications.
NRS 433A.030 - Administrative officer: Powers and duties.
NRS 433A.040 - Administrative officer: Other employment prohibited; exceptions.
NRS 433A.080 - Coordinator of medical programs: Qualifications and selection; powers and duties.
NRS 433A.085 - Forms for detainment, evaluation, admission, treatment and conditional release.
NRS 433A.090 - Revolving Account for Northern Nevada Adult Mental Health Services.
NRS 433A.110 - Canteen for facility of Division: Establishment and operation.
NRS 433A.120 - Types of admission.
NRS 433A.130 - Forms for admission.
NRS 433A.145 - Restrictions on change of status from voluntary consumer to emergency admission.
NRS 433A.150 - Detention for assessment, evaluation, intervention and treatment; limitation on time.
NRS 433A.170 - Certificate of certain providers of health care required for emergency admission.
NRS 433A.190 - Notice of emergency admission for person who is at least 18 years of age.
NRS 433A.195 - Procedure for release from mental health crisis hold.
NRS 433A.197 - Requirements for and limitations on forms, applications and certificates.
NRS 433A.210 - Requirements of petition that is filed after mental health crisis hold.
NRS 433A.215 - Application for writ of habeas corpus before initial hearing.
NRS 433A.230 - Bond of petitioner.
NRS 433A.250 - Evaluation team: Establishment; composition; fees.
NRS 433A.270 - Right to counsel; compensation of counsel; recess; duties of district attorney.
NRS 433A.290 - Right of person alleged to be in mental health crisis to be present and testify.
NRS 433A.300 - Fees and mileage for witnesses.
NRS 433A.320 - Clinical abstract to accompany order.
NRS 433A.330 - Transportation to facility.
NRS 433A.336 - Hearing on petition or motion; notice.
NRS 433A.337 - Written treatment plan.
NRS 433A.342 - Presence and testimony of subject of petition.
NRS 433A.345 - Petition to renew order for assisted outpatient treatment; service; hearing.
NRS 433A.360 - Clinical records: Contents; confidentiality.
NRS 433A.370 - Escape or absence without leave.
NRS 433A.440 - Transfer of nonresident to state of residence.
NRS 433A.450 - Detention and treatment of offender in mental health crisis.
NRS 433A.470 - Guardian may be appointed for person adjudicated incapacitated.
NRS 433A.490 - Restoration of legal capacity of person previously adjudicated incapacitated.
NRS 433A.580 - Arrangements for payment of costs required.
NRS 433A.590 - Schedule of fees.
NRS 433A.620 - Limitation on payment from estate of person admitted to facility.
NRS 433A.650 - Benefits available from third party.
NRS 433A.660 - Collection of fees by legal action and other methods.
NRS 433A.690 - Claim against estate of deceased consumer.