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. Psychologist’s Duties: • I am required by law to maintain the privacy of PHI and to provide you with a notice of my legal duties and privacy practices with respect to PHI. • I reserve the right to change the privacy policies and practices described in this notice. Unless I notify you of such changes, however, I am required to abide by the terms currently in effect. • If I revise my policies and procedures, I will provide you with a revised notice in person, by mail to the most recent address I have on record, or by e-mail to the most recent e-mail address I have on record.
Appears in 3 contracts
Samples: davidkosins.com, davidkosins.com, davidkosins.com
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. Psychologist’s Dutiesduties: • I am required by law to maintain the privacy of PHI and to provide you with a notice of my legal duties and privacy practices with respect to PHI. • I reserve the right to change the privacy policies and practices described in this notice. Unless I notify you of such changes, however, I am required to abide by the terms currently in effect. • If I revise my policies and procedures, I will provide you with a revised notice in person, by mail to the most recent address I have on record, or by e-mail to the most recent e-mail address I have on record.
Appears in 2 contracts
Samples: davidkosins.com, davidkosins.com
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. Psychologist’s Duties: • I am required by law to maintain the privacy of PHI and to provide you with a notice of my legal duties and privacy practices with respect to PHI. • I reserve the right to change the privacy policies and practices described in this notice. Unless I notify you of such changes, however, I am required to abide by the terms currently in effect. • If I revise my policies and procedures, I will provide you with a revised post notice in person, by mail to the most recent address I have on record, or by e-mail to the most recent e-mail address I have on recordmy office.
Appears in 1 contract
Samples: Patient Services 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. Psychologist’s Duties: • I am required by law to maintain the privacy of PHI and to provide you with a notice of my legal duties and privacy practices with respect to PHI. • I reserve the right to change the privacy policies and practices described in this notice. Unless I notify you of such changes, however, I am required to abide by the terms currently in effect. • If I revise my policies and procedures, I will provide you with a revised notice in person, by mail to the most recent address I have on record, or by e-mail to the most recent e-mail address I have on recordmail.
Appears in 1 contract
Samples: Client Services 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. Psychologist’s Duties: • I am required by law to maintain the privacy of PHI and to provide you with a notice of my legal duties and privacy practices with respect to PHI. • I reserve the right to change the privacy policies and practices described in this notice. Unless I notify you of such changes, however, I am required to abide by the terms currently in effect. • If I revise my policies and procedures, I will provide you with a revised notice in person, by mail to the most recent address I have on record, or by e-mail to the most recent e-mail address I have on recordmail.
Appears in 1 contract
Samples: Client Services 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. Psychologist’s Duties: • Duties I am required by law to maintain the privacy of PHI and to provide you with a notice of my legal duties and privacy practices with respect to PHI. • I reserve the right to change the privacy policies and practices described in this notice. Unless I notify you of such changes, however, I am required to abide by the terms currently in effect. • If I revise my policies and procedures, I will provide you with a the revised notice either in person, person or by mail and request that you review and re-sign the form acknowledging and consenting to the most recent address I have on record, or by e-mail to the most recent e-mail address I have on recordchanges.
Appears in 1 contract
Samples: General Information and Psychological Services Agreement