NPI: 1770981268Agreement for Mental Health Services • February 20th, 2015
Contract Type FiledFebruary 20th, 2015This document contains important information about my professional services and business policies. An additional important document that you will receive includes my privacy policies and requirements under the Health Insurance Portability and Accountability Act (HIPAA). Please read it carefully so that you are fully informed about my practice policies. When you sign this document, it will represent an agreement between us.