Common Contracts

3 similar Therapist/Client Service Agreement contracts

INFORMED CONSENT-Therapist/Client Service Agreement
Therapist/Client Service Agreement • February 11th, 2022

Welcome to Enso Counseling, LLC. This document contains important information R. Sean Rollinson, LPC’s professional services and business 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 about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign them or at any time in the future.

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INFORMED CONSENT-Therapist/Client Service Agreement
Therapist/Client Service Agreement • December 6th, 2021

Welcome to Enso Counseling, LLC. This document contains important information R. Sean Rollinson, LPC’s professional services and business 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 about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is very important that you understand them. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign them or at any time in the future.

INFORMED CONSENT-Therapist/Client Service Agreement
Therapist/Client Service Agreement • May 20th, 2020

Welcome to Enso Counseling, LLC. This document contains important information R. Sean Rollinson, LPC’s professional services and business 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 about the use and disclosure of your Protected Health Information (PHI) for the purposes of treatment, payment, and health care operations. Although these documents are long and sometimes complex, it is especially important that you understand them. When you sign this document, it will also represent an agreement between us. We can discuss any questions you have when you sign them or at any time in the future.

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