I feel like this is a topic that is not well understood by a lot of people in medicine, as evidenced by people confidently giving completely contradictory statements.

It's a daily obstruction to appropriate patient care, especially on the inpatient units.

My understanding is that provider to provider communication does not require ROI consent or signature from patients. See the linked pdf below from HHS, which says we as providers are free to talk to each other, and that while psychiatric information has some special privileges, one of those privileges is not raising walls around providers.

So why am I constantly being stonewalled by other providers and hospitals with regards to information release?

Are there state to state laws where its different, or is mental health privacy primarily delineated just by HIipaa?

If it is just broad misunderstanding but people who work in medical records and by other providers, can we get a list-serv email from APA? Or maybe pitch in together to get a super bowl commercial?

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https://www.hhs.gov/sites/default/files/hipaa-privacy-rule-and-sharing-info-related-to-mental-health.pdf