Common Contracts
6 similar Informed Consent Agreement contracts
INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • March 18th, 2020
This 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. “Patient”, herein this document refers to the identified patient(s) and/or the identified patient’s parent(s) or legal guardian(s).
INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • February 26th, 2020
This 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. “Patient”, herein this document refers to the identified patient(s) and/or the identified patient’s parent(s) or legal guardian(s).
INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • January 23rd, 2020
This 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. “Patient”, herein this document refers to the identified patient(s) and/or the identified patient’s parent(s) or legal guardian(s).
INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • December 28th, 2019
This 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. “Patient”, herein this document refers to the identified patient(s) and/or the identified patient’s parent(s) or legal guardian(s).
INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • December 10th, 2019
This 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. “Patient”, herein this document refers to the identified patient(s) and/or the identified patient’s parent(s) or legal guardian(s).
INFORMED CONSENT, OFFICE POLICIES, & GENERAL INFORMATION AGREEMENT FOR PSYCHOLOGICAL SERVICESInformed Consent Agreement • October 30th, 2019
This 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. “Patient”, herein this document refers to the identified patient(s) and/or the identified patient’s parent(s) or legal guardian(s).
