Can a Soldier's record containing psychotherapy notes request for review be denied?

Yes, a Soldier's record containing psychotherapy notes can be denied for review under certain circumstances. Confidentiality and privacy laws, such as the Health Insurance Portability and Accountability Act (HIPAA), protect mental health records, and access may be restricted to ensure the individual's privacy. Additionally, military regulations may also limit access to these records to preserve the integrity of mental health treatment.