INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • July 26th, 2019
Contract Type FiledJuly 26th, 2019This form provides you (Patient) with information that is additional to that detailed in the HIPPA Notice of Privacy Practices and it is subject to HIPAA pre-emptive analysis. (Revised January 30, 2013).
INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • June 25th, 2019
Contract Type FiledJune 25th, 2019This form provides you (Patient) with information that is additional to that detailed in the HIPPA Notice of Privacy Practices and it is subject to HIPAA pre-emptive analysis. (Revised January 30, 2013).