See VHA Directive 1605.01, Sections 7-4 and 38-9
https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=3233 (copy & paste into browser
"SENSITIVE RECORDS" - Many caregivers have voiced concern over who is accessing a veteran's records, especially for evaluations. While evaluations are to be conducted according to the caregiver law, alternative staff is sometimes accessing a veteran's medical records for evaluation or appeal records review.
If you are concerned, have the veteran request their Medical Records be marked "Sensitive" by the Privacy Officer at your local VAMC. This means the LOG of all those accessing records will be supplied in a SPAR report (Sensitive Patient Access Report). Don't forget to request reporting time frame (all).
VHA Directive 1605.01 (Sections 7-4 and 38-9) is also posted in our www.VeteranCaregiver.com website Resources section.
Linda Kreter and the VeteranCaregiver Team