Common use of LIMITS ON CONFIDENTIALITY Clause in Contracts

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 6 contracts

Samples: Informed Consent & Therapist Patient Services Agreement, Informed Consent & Therapist Patient Services Agreement, Informed Consent & Social Worker Patient Services Agreement

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LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written HIPAA Authorization form Form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 3 contracts

Samples: Professional Services, Professional Services Agreement, Professional Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 2 contracts

Samples: Patient Services Agreement, Client Information and Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:: I may occasionally find it helpful to consult other health and mental health professionals about a case. During a consultation, I make every effort to avoid revealing the identity of my patient. The other professionals are also legally bound to keep the information

Appears in 1 contract

Samples: Psychotherapist Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistclinician. In most situations, I can only release information about your treatment to others if you sign a written Authorization authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement contract provides consent for those activities, as follows:

Appears in 1 contract

Samples: Bereavement Counseling Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications communication between a patient and a Psychologistpsychiatrist. In most situations, I can only release information about your treatment to others if you sign a written Authorization authorization form that meets certain legal requirements imposed by HIPAAHIPAA (The Health Insurance Portability and Accountability Act of 1996). There are other situations that require only that you provide written, advance written consent. Your signature on this Agreement provides consent for those activities, activities as follows:

Appears in 1 contract

Samples: Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient client and a Psychologistpsychologist. In most situations, I can only release information about your treatment (or your child’s treatment) to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance advanced consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 1 contract

Samples: Office Policies and Agreement for Psychological Services

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist/therapist. In most situations, I we can only release information about your treatment to others if you sign a written Authorization authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 1 contract

Samples: Psychologist/Therapist Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient client and a Psychologisttherapist. In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 1 contract

Samples: Psychotherapist Client Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by of state law and HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this the Agreement provides consent for those the following activities, as follows:

Appears in 1 contract

Samples: Psychotherapist Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient client and a Psychologistpsychologist. In most situations, I can only release information to others about your treatment to others (or your child’s treatment) if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide have provided written, advance consent. Your signature on this current Agreement provides consent for those activities, as follows:

Appears in 1 contract

Samples: Professional Services

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LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistthe psychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 1 contract

Samples: Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 1 contract

Samples: Psychologist Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:: • I may occasionally find it helpful to consult other health and mental health professionals about a case. During a consultation, I make every effort to avoid revealing the identity of my patient. The other professionals are also legally bound to keep the information

Appears in 1 contract

Samples: Psychotherapist Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient client and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, such as follows:

Appears in 1 contract

Samples: Therapy Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I we can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:

Appears in 1 contract

Samples: Psychologist Patient Services Agreement

LIMITS ON CONFIDENTIALITY. The law protects the privacy of all communications between a patient and a Psychologistpsychologist. In most situations, I can only release information about your treatment to others if you sign a written Authorization form that meets certain legal requirements imposed by HIPAA. There are other situations that require only that you provide written, advance consent. Your signature on this Agreement provides consent for those activities, as follows:: • I may occasionally find it helpful to consult other health and mental health professionals about a case. During a consultation, I make every effort to avoid revealing the identity of my patient. The other professionals are also legally bound to keep the information

Appears in 1 contract

Samples: Psychologist Client Services Agreement

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