Note:
Changes in
the laws, rules and regulations since the 2001 edition of the LSBEP
Directory and Statutory Reference book appear in boldface type in this
2002 edition.
Privileged
Communication Between Health Care Provider and Patient, LA R.S. 13:3734
§3734. Privileged communication between health care
provider and patient
A. As used in this Part:
(1) “Health care provider” means a
hospital, as defined in Paragraph (3) hereof, and means a person,
corporation, facility, or institution licensed by the state to provide
health care or professional services as a physician, hospital, dentist,
registered or licensed practical nurse, pharmacist, optometrist,
podiatrist, chiropractor, physcial therapist, psychologist, or licensed
professional counselor and an officer, employee, or agent thereof acting
in the course and scope of his employment.
(2) “Patient” means a natural person who
receives health care from a licensed health care provider.
(3) “Hospital” means any hospital as
defined in R.S. 40:2102; any “Nursing home” or “home” as defined in R.S.
40:2009.2; or any health care provider’s offices or clinics containing
facilities for the examination, diagnosis, treatment or care of human
illness.
(4) “Representative” means the spouse,
parent, tutor, curator, trustee, attorney or other legal agent of the
patient.
(5) “Communication” means the acquiring,
recording or transmittal, of any information in any manner whatsoever,
concerning any facts, opinions or statements necessary to enable the
health care provider to diagnose, treat, prescribe or to act for the
patients; said communications may include, but are not limited to any and
all medical records, office records, hospital records, charts,
correspondence, memoranda, laboratory tests and results, x-rays,
photographs, financial statements, diagnoses and prognoses.
B. In non-criminal proceedings, testimonial
privileges, exceptions, and waiver with respect to communications between
a health care provider and his patient are governed
by the Louisiana Code of Evidence.
C. If any health care provider reasonably believes
in good faith that any civil proceeding enumerated in Louisiana Evidence
Code Article 510(B)(2)(a) or (b) has been or may be instituted by, or on
behalf of any patient, the health care provider may disclose any
communication acquired by him which was necessary to enable him to
diagnose, treat, prescribe, or act for such patient.
D. An action or proceeding described in Louisiana
Evidence Code Article 510(B)(2) which constitutes an exception for a
health care provider to testify at a trial on the merits also shall be for
purposes of any discovery method authorized by Article 1421 et seq. of the
Louisiana Code of Civil Procedure.
E. Nothing in this Section shall preclude the
health care provider from disclosing privileged information by medical
report either before or after any legal proceedings are instituted,
provided that he is in receipt of a written authorization executed by the
patient. Furthermore, when a patient is represented by an attorney and
that attorney provides the health care provider with written authorization
executed by the patient, the health care provider may disclose to the
attorney any communication which was necessary to enable him to diagnose,
treat, prescribe, or act for the patient and may provide to the attorney,
as agent for the patient, any medical reports, x-rays, or any other
written information the health care provider has regarding the patient,
all without the necessity of complying with formal discovery.
F. (1) In addition to any other
provision of law permitting the subpoena of health care provider records,
a party may obtain the health care provider records and communications,
defined by Paragraph (5) of Subsection A, of a patient to the extent
permitted by Louisiana Code of Evidence Article 510(B)(2)(j) pursuant to a
lawful subpoena, summons, or court order served upon the custodian of
records of the health care provider, only if the custodian or recorder is
furnished by the person requesting the subpoena, summons, or court order
with an affidavit that such subpoena, summons, or court order has also
been personally served upon the patient, or upon his counsel of record,
whose records are sought at least ten days prior to the date on which the
records are to be disclosed, and the custodian of records for the health
care provider has not received notice that the patient has taken
appropriate legal action to restrain the release of the records.