CLEE Record Keeping and Documentation

Question 1

Under California law, how long must a licensed therapist retain adult client records after the last date of service?

Accepted Answer

7 years

Answer

3 years

Answer

5 years

Answer

10 years

Question 2

For minor clients in California, mental health records must be retained until the minor reaches age 18 or for how long, whichever is longer?

Accepted Answer

7 years after last service

Answer

3 years after last service

Answer

5 years after last service

Answer

10 years after last service

Question 3

Which of the following must be documented in a client's treatment record according to California ethical and legal standards?

Accepted Answer

Progress notes, treatment plans, informed consent, and significant clinical decisions

Answer

Only formal psychological test results

Answer

Only billing and insurance information

Answer

Only session dates and fees charged

Question 4

A therapist is closing their private practice. What is their ethical obligation regarding client records?

Accepted Answer

Ensure records are transferred or stored in a way that preserves client access and confidentiality

Answer

Records can be destroyed since the practice is closing

Answer

Turn all records over to the California BBS for storage

Answer

Notify clients verbally but no written transfer plan is needed

Question 5

Under California law, a patient's right to access their own mental health records is governed by:

Accepted Answer

HIPAA and California Health and Safety Code §123111

Answer

The Tarasoff Act only

Answer

The BBS licensing statutes exclusively

Answer

The Welfare and Institutions Code for all clients

Question 6

A therapist may withhold a client's records if:

Accepted Answer

Disclosure would cause substantial harm to the client or others, as documented

Answer

The client has an outstanding balance for services

Answer

The therapist determines the client does not need the records

Answer

The records are more than 5 years old