Right to a Paper Copy. You have the right to obtain a paper copy of the notice from me upon request, even if you have agreed to receive the notice electronically. • Right to Restrict Disclosures When You Have Paid for Your Care Out-of-Pocket. You have the right to restrict certain disclosures of PHI to a health plan when you pay out-of-pocket in full for my services.
Appears in 7 contracts
Samples: Psychotherapy Agreement, Psychotherapist Patient Services Agreement, Psychotherapy Agreement
Right to a Paper Copy. You have the right to obtain a paper copy of the notice from me upon request, even if you have agreed to receive the notice electronically. • Right to Restrict Disclosures When You Have Paid for Your Care Out-of-PocketOut-‐of-‐Pocket. You have the right to restrict certain disclosures of PHI to a health plan when you pay out-of-pocket out-‐of-‐pocket in full for my services.
Appears in 2 contracts
Samples: Psychotherapy Agreement, Client Clinician Agreement
Right to a Paper Copy. You have the right to obtain a paper copy of the notice from me upon request, even if you have agreed to receive the notice electronically. • Right to Restrict Disclosures When You Have Paid for Your Care Out-of-Pocket. You have the right to restrict certain disclosures of PHI to a health plan when you pay out-of-of- pocket in full for my services.
Appears in 1 contract
Samples: Psychotherapy Agreement
