Common Contracts

1 similar Patient Services Agreement contracts

Psychiatric Associates Of Northern Virginia
Patient Services Agreement • January 19th, 2019

Welcome to Psychiatric Associates of Northern Virginia (PANV) This document contains important information about our professional services and business policies. It also contains information about the Health Insurance Portability and Accountability Act (HIPAA), a Federal law that provides privacy protections and patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. You may revoke this Agreement in writing at any time. Please bring up any questions you have at your first appointment.

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