2272                                          LAWS OF MARYLAND                                      Ch. 636

(II) ALL CHARGES, INCLUDING ANY CHARGES FOR
SERVICES THAT ARE NOT COVERED BY MEDICARE, MEDICAID, OR
REIMBURSEMENT BY A STATE OR LOCAL PUBLIC AGENCY; AND

(2) KEEP A WRITTEN RECEIPT FOR THE STATEMENT THAT IS
SIGNED BY THE INDIVIDUAL OR, IF THE INDIVIDUAL IS A MINOR, THE
PARENT OR GUARDIAN OF THE PERSON.

(C)  IF A LICENSEE PROVIDES AN INDIVIDUAL WITH A SERVICE,
THE LICENSEE SHALL GIVE THE INDIVIDUAL OR THE GUARDIAN OF THE
PERSON INFORMATION ABOUT THE DIAGNOSIS, TREATMENT, AND PROGNOSIS
OF THE INDIVIDUAL.

(D)  (1) UNLESS IT IS MEDICALLY INADVISABLE, AN INDIVIDUAL,
OR THE GUARDIAN OF THE PERSON:

(I)  SHALL PARTICIPATE IN THE PLANNING OF THE
MEDICAL TREATMENT;

(II)  MAY REFUSE MEDICATION OR TREATMENT; AND

(III)  SHALL BE INFORMED OF THE MEDICAL
CONSEQUENCES OF THESE ACTIONS.

(2) THE LICENSEE SHALL KEEP A WRITTEN ACKNOWLEDGMENT
OF THE INDIVIDUAL OR GUARDIAN THAT THE MEDICAL CONSEQUENCES ARE
KNOWN.

(E)  (1) ANY CASE DISCUSSION, CONSULTATION, EXAMINATION, OR
MEDICAL TREATMENT OF AN INDIVIDUAL WHO RECEIVES SERVICES UNDER
THIS TITLE:

(I)  IS CONFIDENTIAL; AND

(II)  IS NOT OPEN TO A PERSON WHO IS NOT
INVOLVED DIRECTLY IN THE TREATMENT OF THE INDIVIDUAL WHO RECEIVES
SERVICES UNDER THIS TITLE UNLESS THE INDIVIDUAL OR THE GUARDIAN
OF THE PERSON PERMITS THE INDIVIDUAL TO BE PRESENT.

(2) EXCEPT AS NECESSARY FOR THE TRANSFER OF AN
INDIVIDUAL FROM ONE HEALTH CARE INSTITUTION TO ANOTHER OR AS
REQUIRED BY LAW OR A 3RD PARTY PAYMENT CONTRACT, THE PERSONAL,
MEDICAL, PSYCHOLOGICAL, AND INDIVIDUAL TREATMENT AND
DEVELOPMENTAL INFORMATION ABOUT AN INDIVIDUAL IS CONFIDENTIAL AND
MAY NOT BE RELEASED WITHOUT THE CONSENT OF THE INDIVIDUAL OR THE
GUARDIAN OF THE PERSON TO ANY INDIVIDUAL WHO:

(I)  IS NOT ASSOCIATED WITH A LICENSEE; OR

(II)  IS ASSOCIATED WITH A LICENSEE, BUT DOES
NOT HAVE A DEMONSTRATED NEED FOR THE INFORMATION.

(F)  IF IT IS FEASIBLE TO DO SO AND NOT MEDICALLY
CONTRAINDICATED, SPOUSES WHO ARE BOTH RESIDENTS OF A LICENSED