Common use of Questions and Complaints Clause in Contracts

Questions and Complaints. If you have questions about this notice, disagree with a decision I make about access to your records, or have other concerns about your privacy rights, you may contact me at 000-000-0000.

Appears in 2 contracts

Samples: Agreement for Fees and Psychological Services, Agreement for Fees and Psychological Services

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Questions and Complaints. If you have questions about this notice, disagree with a decision I make about access to your records, or have other concerns about your privacy rights, you may contact me at 000-000-0000.

Appears in 1 contract

Samples: Agreement for Psychotherapy Services

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Questions and Complaints. If you have questions about this notice, disagree with a decision I make your provider makes about access to your records, or have other concerns about your privacy rights, you may contact me Xxxxxxxxx Xxxxx at 000-000-0000.

Appears in 1 contract

Samples: Patient Services Agreement

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