Records can be withheld from patients if

the records may cause harm to the patient
the patient is entering a long-term care facility
there is an impending lawsuit
the physician does not like the patient

the records may cause harm to the patient

Rationale: The doctrine of professional discretion states that records can be withheld from patients if the information can be reasonably expected to cause harm to the patient such as those associated with psychiatric, drug, and alcohol treatments.