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The requirement for written authorization when faxing a discharge summary to an outside primary care provider primarily hinges on the nature of the information being shared, especially regarding sensitive medical information. In the case of psychotherapy, the Health Insurance Portability and Accountability Act (HIPAA) imposes stricter regulations on the release of mental health records. These records are often considered more sensitive, requiring explicit written consent from the patient before they can be shared with third parties.

Written authorization ensures that the patient fully understands what information is being shared and with whom, particularly in mental health contexts where privacy is paramount. The consent safeguards the patient's confidentiality and aligns with both federal and institutional policies designed to protect sensitive health information.

In contrast, other situations, such as general medical information or when consent has only been given verbally, do not meet the standards set for sharing psychotherapy records. Each of those scenarios would not necessitate the same stringent guidelines, emphasizing the significance of written consent specifically in psychotherapy-related cases.