Common Contracts
2 similar Treatment Policies and Fee Agreement contracts
MOHANDESSI PSYCH, LLCTreatment Policies and Fee Agreement • March 7th, 2018
The patient-physician relationship indicates that the information you disclosed to your physician during the course of the treatment is kept confidential. The purpose of maintaining patient confidentiality is to allow you to feel free to make a full and frank disclosure of information to the physician. Dr. Mohandessi will not disclose any patient information to others unless given specific permission in writing to do so. In the unlikely event that Dr. Mohandessi is required to release patient information, he will first attempt to obtain your permission. If permission is unattainable or not given, Dr. Mohandessi will do his best to disclose as little information as possible and protect your confidentiality.
MOHANDESSI PSYCH, LLCTreatment Policies and Fee Agreement • July 9th, 2011
The patient-physician relationship indicates that the information you disclosed to your physician during the course of the treatment is kept confidential. The purpose of maintaining patient confidentiality is to allow you to feel free to make a full and frank disclosure of information to the physician. Dr. Mohandessi will not disclose any patient information to others unless given specific permission in writing to do so. In the unlikely event that Dr. Mohandessi is required to release patient information, he will first attempt to obtain your permission. If permission is unattainable or not given, Dr. Mohandessi will do his best to disclose as little information as possible and protect your confidentiality.
