Psychotherapy Services AgreementPsychotherapy Services Agreement • November 6th, 2020
Contract Type FiledNovember 6th, 2020Welcome to our psychotherapy practice! This document (the Agreement) contains important legal information about our professional services and office policies. It also contains summary 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. HIPAA requires that we provide you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment and health care operations.The Notice, which is attached to this Agreement, explains HIPAA and its application to your personal health information in greater detail.The law requires that we obtain your signature acknowledging that we have provided you with this information by the end of your first session. Although these are long documents, it is very important that you read