Common Contracts
1 similar Patient Agreement & Informed Consent contracts
Psychology Clinic- Patient Agreement & Informed ConsentPatient Agreement & Informed Consent • September 9th, 2019
Welcome to the ISU Psychology Clinic. This document/agreement contains important information about: 1) our professional services and special conditions related to being a training clinic, 2) summary information about privacy and confidentiality, and 3) our clinic business practices. Although a bit long and complex, it is important that you read it carefully and ask any questions you might have today, or before your next session. We will give you a copy to take home. When you sign this document, it will represent an agreement between us. However, you may revoke this agreement in writing at any time. That revocation will be binding unless a) the clinic has already taken action in reliance on it, b) the clinic has legal obligations imposed on it by a court of jurisdiction or your health insurer in order to process claims made under your policy, or c) if you have not satisfied financial obligations you have incurred.
